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Organization
INTREPID OF WEST TEXAS INC
Active
Organization
INTREPID OF WEST TEXAS INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PARKER (CCO)
(214) 445-3773
Entity
Organization
Contact information
Practice address
3310 LOOP 306, SAN ANGELO, TX 76904
(325) 658-5550
(325) 658-8850
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3960
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166971501
—
TX
Enumeration date
11/18/2005
Last updated
11/08/2022
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