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Organization
PMST RED OAK, LLC
Active
Organization
PMST RED OAK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY TEAL DARDEN (CEO)
(972) 473-8980
Entity
Organization
Contact information
Practice address
100 BONHAM CT STE A, RED OAK, TX 75154-4665
(972) 473-8980
(972) 212-6851
Mailing address
6001 WINDHAVEN PKWY STE 210, PLANO, TX 75093-8022
(972) 473-8980
(972) 212-6851
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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