NPI Details | |
---|---|
NPI | 1124061304 |
Enumeration Date | 06/14/2006 |
Last Updated | 02/06/2015 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
---|---|
Name | GARY GARY |
Position | MANAGING MEMBER |
Phone | (903) 389-1236 |
Fax | (903) 389-1241 |
Practice Location | |
---|---|
420 MOODY ST FAIRFIELD TX, 75840-3036, US |
|
Phone | (903) 389-1236 |
Fax | (903) 389-1241 |
Business Location | |
---|---|
420 MOODY ST FAIRFIELD TX, 75840-3036, US |
|
Phone | |
Fax |
Toxanomy | |
---|---|
Taxonomy Code | 314000000X |
License State | Texas |
License Number | 102704 |
Remove 1124061304 NPI Number |
According to our database, Fairfield I Enterprises, Llc NPI is 1124061304, taxonomy code is 314000000X and license number is 102704, license state is located at Texas. Fairfield I Enterprises, Llc physically located at 420 Moody St, Fairfield TX, 75840-3036. NPI Number 1033115704 has the healthcare provider type.
Sponsored links
1124061304 NPI number is provided on an as is basis without warranty of any kind. 1124061304 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfield I Enterprises, Llc are for informational purposes only.
Sponsored links