Anci-Pro Healthcare Solutions, LLC
Clinic/Center in Irving, TX. Organization (NPI-2).
NPI number1710338116
StatusActive
Last updated in NPPESJun 28, 2016
Details
- NPI
- 1710338116
- Entity type
- Organization (NPI-2)
- Legal business name
- Anci-Pro Healthcare Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2016
- Last updated
- Jun 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4545 Fuller DrSuite 100
Irving, TX 75038-6530
Phone 469-995-8416
Mailing address
4545 Fuller DrSuite 100
Irving, TX 75038-6530
Authorized official
Justin Luke Magunson
Ceo
4699958416
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