Organization · NPI-2
108 Stephenville Emergency Care
Clinic/Center, Emergency Care · Stephenville, TX
NPI number1780110833
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1780110833
- Entity type
- Organization (NPI-2)
- Legal business name
- 108 Stephenville Emergency Care
- Organization subpart
- No
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0002X | Clinic/Center, Emergency Care | – | – | Yes |
Practice location
2108 W Washington StStephenville, TX 76401-3928
Phone 817-421-0012 · Fax 817-421-0036
Mailing address
920 S Kimball Ave140
Southlake, TX 76092-9016
Phone 817-527-3403
Authorized official
Braxton Neiman
General Counsel
8174210012
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