Careatc-Richardson-14249-60

NPI #1366996134 in Richardson, Texas

Provider Information

NPI Number
1366996134
Entity Type
Organization
Organization Name
Careatc-Richardson-14249-60
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 10, 2016
Last Updated
Aug 10, 2016

Practice Location

Address
1060 W CAMPBELL RD STE 300
State
Texas
ZIP Code
75080-2941
Phone
(918) 779-7416

Authorized Official

Name
KEITH GUCWA
Title
DIR. OF PURCHASING AND FACILITIES
Phone
(918) 779-7416

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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