Gluckstadt Tc Kids, LLC

NPI #1255947297 in Madison, Mississippi

Provider Information

NPI Number: 1255947297
Entity Type: Organization
Organization Name: Gluckstadt Tc Kids, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRUSTCARE HEALTH, LLC
Primary Specialty: Pediatrics
Enumeration Date: Sep 16, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 101 LEXINGTON DR STE A
City: Madison
State: Mississippi
ZIP Code: 39110-6986
Phone: (601) 707-3772

Authorized Official

Name: WARREN HERRING
Title: CEO
Phone: (601) 499-0651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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