Vcphcs Xxii, LLC

NPI #1124464136 in Lufkin, Texas

Provider Information

NPI Number
1124464136
Entity Type
Organization
Organization Name
Vcphcs Xxii, LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
May 16, 2013
Last Updated
May 16, 2013

Practice Location

Address
105 E BREMOND AVE
City
Lufkin
State
Texas
ZIP Code
75901-3025
Phone
(936) 637-2223

Authorized Official

Name
MR. JAMES FREDERICK DRAUDT
Title
COO
Phone
(214) 365-6111

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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