Clinical Practice Support Services

NPI #1881888907 in Mansfield, Texas

Provider Information

NPI Number
1881888907
Entity Type
Organization
Organization Name
Clinical Practice Support Services
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 31, 2007
Last Updated
Aug 31, 2007

Practice Location

Address
1811 HIGHWAY 287 N STE 150
State
Texas
ZIP Code
76063-7595
Phone
(817) 473-3979

Authorized Official

Name
EUGENE GLEESON
Title
DIRECTOR OF BUSINESS SERVICES
Phone
(817) 473-3979

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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