Regence Health Network, INC

NPI #1245775303 in Plainview, Texas

Provider Information

NPI Number: 1245775303
Entity Type: Organization
Organization Name: Regence Health Network, INC
Subpart: Yes (part of a larger organization)
Parent Organization: REGENCE HEALTH NETWORK
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 28, 2016
Last Updated: Dec 28, 2016

Practice Location

Address: 715 AMARILLO ST
City: Plainview
State: Texas
ZIP Code: 79072-6743
Phone: (806) 293-8561

Authorized Official

Name: DEREK MARTIN, CFO
Title: CHIEF FINANCIAL OFFICER
Phone: (806) 293-8561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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