Organization · NPI-2
Avere Healthcare Clinics LLC
Clinic/Center · Denton, TX
NPI number1427348168
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1427348168
- Entity type
- Organization (NPI-2)
- Legal business name
- Avere Healthcare Clinics LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2011
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | 675701 | TX |
Practice location
2535 Charlotte StSuite 102
Denton, TX 76201-3301
Phone 940-387-7300 · Fax 940-387-1848
Mailing address
2535 Charlotte StSuite 102
Denton, TX 76201-3301
Phone 940-387-7300 · Fax 940-387-1848
Authorized official
Carol Hedtke
Managing Member
8178918356
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