Enterprise Pediatric Center of Denison LLC

NPI #1427389568 in Denison, Texas

Provider Information

NPI Number: 1427389568
Entity Type: Organization
Organization Name: Enterprise Pediatric Center of Denison LLC
Primary Specialty: Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date: Jan 28, 2010
Last Updated: Jan 28, 2010

Practice Location

Address: 2300 W MORTON ST
City: Denison
State: Texas
ZIP Code: 75020-1671
Phone: (903) 462-4085

Authorized Official

Name: CHARLES SMITH
Title: ADMINISTRATOR
Phone: (903) 462-4085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	Primary

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