Organization · NPI-2
Erath Clinic, PLLC
Clinic/Center · Stephenville, TX
NPI number1659947612
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1659947612
- Entity type
- Organization (NPI-2)
- Legal business name
- Erath Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Stephenville Health Clinic, LLC (Doing Business As)
- Stephenville Health Clinic (Doing Business As)
Practice location
2287 Northwest LoopStephenville, TX 76401-1701
Phone 254-968-0411
Mailing address
Po Box 2444Stephenville, TX 76401-0040
Phone 254-918-5388
Authorized official
Laranda Feemster
President
2549680411
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