Utc Providers - Killeen INC

NPI #1750795894 in Killeen, Texas

Provider Information

NPI Number: 1750795894
Entity Type: Organization
Organization Name: Utc Providers - Killeen INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 17, 2014
Last Updated: Feb 26, 2015

Practice Location

Address: 2206 E CENTRAL TEXAS EXPY
City: Killeen
State: Texas
ZIP Code: 76543-5315
Phone: (254) 213-5111

Authorized Official

Name: NATHALIE BLACKSTOCK
Title: EXECUTIVE DIRECTOR, RCM DIVISION
Phone: (512) 323-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
Family Medicine	207Q00000X	Primary

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