Converse Medical Center

NPI 1104203363 - Clinic/Center - 261QE0002X

NPI Details
NPI 1104203363
Enumeration Date 04/27/2015
Last Updated 05/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TIM TIM
Position CFO
Phone (210) 462-1210
Fax (210) 462-1214
Practice Location
7898 KITTY HAWK RD
CONVERSE TX, 78109-0000, US
Phone (210) 462-1210
Fax (210) 462-1214
Business Location
PO BOX 840795
DALLAS TX, 75284-0795, US
Phone (972) 899-6650
Fax (972) 899-5954
Toxanomy
Taxonomy Code 261QE0002X
License State Texas
License Number 160164
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According to our database, Converse Medical Center NPI is 1104203363, taxonomy code is 261QE0002X and license number is 160164, license state is located at Texas. Converse Medical Center physically located at 7898 Kitty Hawk Rd, Converse TX, 78109-0000. NPI Number 1033115704 has the healthcare provider type.

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1104203363 NPI number is provided on an as is basis without warranty of any kind. 1104203363 is maintained by the National Plan & Provider Enumeration System. The contents of Converse Medical Center are for informational purposes only.