Campbell-deberry Enterprises

NPI 1043400062 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1043400062
Enumeration Date 07/26/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STACY LYNN STACY
Position PRESIDENT
Phone (872) 985-3638
Fax (972) 867-7062
Practice Location
4012 PRESTON ROAD
SUITE 500
PLANO TX, 75093-7351, US
Phone (872) 985-3638
Fax (972) 867-7062
Business Location
4012 PRESTON ROAD
SUITE 500
PLANO TX, 75093-7351, US
Phone (872) 985-3638
Fax (972) 867-7062
Toxanomy
Taxonomy Code 302F00000X
License State Texas
License Number =========
Remove 1043400062 NPI Number
 

According to our database, Campbell-deberry Enterprises NPI is 1043400062, taxonomy code is 302F00000X and license number is =========, license state is located at Texas. Campbell-deberry Enterprises physically located at 4012 Preston Road, Plano TX, 75093-7351. NPI Number 1033115704 has the healthcare provider type.

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1043400062 NPI number is provided on an as is basis without warranty of any kind. 1043400062 is maintained by the National Plan & Provider Enumeration System. The contents of Campbell-deberry Enterprises are for informational purposes only.