Premium Assisted Care
NPI #1811273642 in Garland, Texas
Provider Information
- NPI Number
- 1811273642
- Entity Type
- Organization
- Organization Name
- Premium Assisted Care
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 25, 2011
- Last Updated
- Oct 25, 2011
Practice Location
Authorized Official
- Name
- MRS. DORIS MAE GORDON
- Title
- PROGRAM MANAGER (OWNER)
- Phone
- (214) 808-6070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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