Phoenix Health Center, Pllc

NPI 1295157337 - Family Medicine - 207Q00000X

NPI Details
NPI 1295157337
Enumeration Date 01/08/2014
Last Updated 06/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DOROTHY LOUISE DOROTHY
Position SOLE OWNER
Phone (903) 595-5595
Fax (903) 595-5985
Practice Location
1114 W BOW ST
TYLER TX, 75702-5137, US
Phone (903) 595-5595
Fax (903) 595-5985
Business Location
1114 W BOW ST
TYLER TX, 75702-5137, US
Phone (903) 595-5595
Fax (903) 595-5985
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number N1355
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According to our database, Phoenix Health Center, Pllc NPI is 1295157337, taxonomy code is 207Q00000X and license number is N1355, license state is located at Texas. Phoenix Health Center, Pllc physically located at 1114 W Bow St, Tyler TX, 75702-5137. NPI Number 1033115704 has the healthcare provider type.

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1295157337 NPI number is provided on an as is basis without warranty of any kind. 1295157337 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Health Center, Pllc are for informational purposes only.