4 Real Group, LLC

NPI #1013206630 in Desoto, Texas

Provider Information

NPI Number
1013206630
Entity Type
Organization
Organization Name
4 Real Group, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 5, 2011
Last Updated
Mar 25, 2022

Practice Location

Address
613 WORLEY GLEN AVE
City
Desoto
State
Texas
ZIP Code
75115-3321
Phone
(214) 277-9814

Authorized Official

Name
ERIC TUCKER
Title
OWNER
Phone
(214) 277-9814

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Clinical Medical Laboratory

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