Iron Mountain Medical Center Llc

NPI 1215974688 - Family Medicine - 207Q00000X

NPI Details
NPI 1215974688
Enumeration Date 06/02/2006
Last Updated 02/16/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CYNTHIA RAYE CYNTHIA
Position OWNER
Phone (936) 544-7202
Fax (936) 546-2029
Practice Location
106 N GRACE ST
CROCKETT TX, 75835-1722, US
Phone (936) 544-7202
Fax (936) 546-2029
Business Location
106 N GRACE ST
CROCKETT TX, 75835-1722, US
Phone (936) 348-9141
Fax (936) 348-9143
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number =========
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According to our database, Iron Mountain Medical Center Llc NPI is 1215974688, taxonomy code is 207Q00000X and license number is =========, license state is located at Texas. Iron Mountain Medical Center Llc physically located at 106 N Grace St, Crockett TX, 75835-1722. NPI Number 1033115704 has the healthcare provider type.

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1215974688 NPI number is provided on an as is basis without warranty of any kind. 1215974688 is maintained by the National Plan & Provider Enumeration System. The contents of Iron Mountain Medical Center Llc are for informational purposes only.