Civitas Clinical Services LLC

NPI #1700543873 in Denton, Texas

Provider Information

NPI Number: 1700543873
Entity Type: Organization
Organization Name: Civitas Clinical Services LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 23, 2021
Last Updated: Nov 23, 2021

Practice Location

Address: 4400 TEASLEY LN # 400
City: Denton
State: Texas
ZIP Code: 76210-4650
Phone: (940) 220-5859

Authorized Official

Name: KELLY SELBY
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (940) 220-5859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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