Providence Health Alliance
NPI #1013783091 in Lacy Lakeview, Texas
Provider Information
- NPI Number
- 1013783091
- Entity Type
- Organization
- Organization Name
- Providence Health Alliance
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Nov 30, 2023
- Last Updated
- Nov 30, 2023
Practice Location
- Address
- 1130 N LOOP 340
- City
- Lacy Lakeview
- State
- Texas
- ZIP Code
- 76705
- Phone
- (254) 870-6500
Authorized Official
- Name
- CLAYTON CARSNER
- Title
- VP/COO
- Phone
- (512) 324-5846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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