# PECAN VALLEY MHMR REGION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pecan Valley Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285342295
- **Authorized official:** MICHELLE L LEONARD (BILLING MANAGER)
- **Authorized official phone:** (817) 579-4400

## Contact information

- **Practice address:** 1601 N ANGLIN ST, CLEBURNE, TX 76031-1835
- **Practice address phone:** (817) 558-1121
- **Mailing address:** 2101 W PEARL ST, GRANBURY, TX 76048-1894
- **Mailing address phone:** (817) 579-4400
- **Mailing address fax:** (866) 452-5424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2022
- **Last updated:** 11/08/2022