Jerold Lee Hildre M.S., L.P.C.

NPI 1336333194 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1336333194
Gender Male
Enumeration Date 09/04/2007
Last Updated 09/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9300 COIT RD
1424
PLANO TX, 75025-4481, US
Phone (214) 726-5451
Fax (469) 362-6490
Business Location
PO BOX 260602
PLANO TX, 75026-0602, US
Phone (214) 726-5451
Fax (469) 362-6490
Toxanomy
Taxonomy Code 171M00000X
License State Illinois
License Number 18599
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According to our database, Mr. Jerold Lee Hildre M.S., L.P.C. NPI is 1336333194, taxonomy code is 171M00000X and license number is 18599, license state is located at Illinois. Jerold Lee Hildre M.S., L.P.C. physically located at 9300 Coit Rd, Plano TX, 75025-4481. NPI Number Jerold Lee Hildre M.S., L.P.C. has the Individual type.

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1336333194 NPI number is provided on an as is basis without warranty of any kind. 1336333194 is maintained by the National Plan & Provider Enumeration System. The contents of Jerold Lee Hildre M.S., L.P.C. are for informational purposes only.