| NPI Details | |
|---|---|
| NPI | 1104809862 |
| Enumeration Date | 11/26/2005 |
| Last Updated | 04/26/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | RANDALL RANDALL |
| Position | VICE PRESIDENT/ASST. CFO |
| Phone | (325) 437-1184 |
| Fax | |
| Practice Location | |
|---|---|
| 2617 ANTILLEY RD ABILENE TX, 79606-5109, US |
|
| Phone | (325) 437-1184 |
| Fax | |
| Business Location | |
|---|---|
| 1 VILLAGE DR SUITE 400 ABILENE TX, 79606-8231, US |
|
| Phone | (325) 691-5519 |
| Fax | (325) 698-4582 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 313M00000X |
| License State | Texas |
| License Number | 113299 |
| Remove 1104809862 NPI Number | |
According to our database, Sears Methodist Center, Inc NPI is 1104809862, taxonomy code is 313M00000X and license number is 113299, license state is located at Texas. Sears Methodist Center, Inc physically located at 2617 Antilley Rd, Abilene TX, 79606-5109. NPI Number 1033115704 has the healthcare provider type.
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1104809862 NPI number is provided on an as is basis without warranty of any kind. 1104809862 is maintained by the National Plan & Provider Enumeration System. The contents of Sears Methodist Center, Inc are for informational purposes only.
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