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Cosmetic Image Laser Solution, LLC

Internal Medicine in Brownwood, TX. Organization (NPI-2).

NPI number1760664650
StatusActive
Last updated in NPPESNov 18, 2008

Details

NPI
1760664650
Entity type
Organization (NPI-2)
Legal business name
Cosmetic Image Laser Solution, LLC
Organization subpart
No
Enumeration date
Dec 3, 2007
Last updated
Nov 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineG6479TXYes

Other names

  • Creative Image Laser Solution (Doing Business As)

Practice location

3661 Hwy 377 South
Brownwood, TX 76801-5900

Phone 325-642-4014

Mailing address

3661 Hwy 377 South
Brownwood, TX 76801-5900

Phone 325-642-4014

Authorized official

Gary N Butka
Owner
3256424014

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