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Organization
INNOVACARE TEXAS MANAGEMENT SERVICES COMPANY LLC
Active
Organization
INNOVACARE TEXAS MANAGEMENT SERVICES COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG MALTON (DELEGATED OFFICIAL,)
(917) 204-3810
Entity
Organization
Contact information
Practice address
1672 INDEPENDENCE DR STE 310, NEW BRAUNFELS, TX 78132-3982
(830) 730-5025
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(321) 332-6947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
11/30/2023
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