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Organization
REGIONAL HEALTH CLINIC AT TERRELL PLLC
Active
Organization
REGIONAL HEALTH CLINIC AT TERRELL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY W HAMBERLIN NP-C, DC (OWNER/PROVIDER)
(972) 563-1475
Entity
Organization
Contact information
Practice address
1553 STATE HIGHWAY 34 S, STE 100, TERRELL, TX 75160-4833
(972) 563-1475
(972) 524-5132
Mailing address
PO BOX 1866, TERRELL, TX 75160-0033
(972) 563-1475
(972) 524-5132
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
774755
TX
363LF0000X
Family Nurse Practitioner
Primary
774755
TX
Other
Enumeration date
02/20/2012
Last updated
12/13/2013
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