Organization · NPI-2

Chc Highland Village, LLC

Clinic/Center · Highland Village, TX

NPI number1295211506
StatusActive
Last updated in NPPESAug 17, 2020

Details

NPI
1295211506
Entity type
Organization (NPI-2)
Legal business name
Chc Highland Village, LLC
Organization subpart
No
Enumeration date
Jul 19, 2018
Certification date
Aug 17, 2020
Last updated
Aug 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Connected Health Centers (Doing Business As)

Practice location

2150 Justin Rd Ste 100
Highland Village, TX 75077-7126

Phone 469-312-3317 · Fax 469-312-3318

Mailing address

2150 Justin Rd Ste 100
Highland Village, TX 75077-7126

Phone 469-312-3317 · Fax 469-312-3318

Authorized official

Jeff Alexander
Manager
7199643284

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