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Organization
ENTERPRISE PEDIATRIC CENTER OF DENISON LLC
Active
Organization
ENTERPRISE PEDIATRIC CENTER OF DENISON LLC
Active
Other names
LifeSteps of Denison
Organization subpart
No
Provider details
NPI number
Authorized official
DALE L PHILLIPS JR. (MANAGER)
(903) 462-4085
Entity
Organization
Contact information
Practice address
2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
(903) 462-4085
Mailing address
2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
(903) 462-4085
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
06/01/2009
Last updated
07/31/2009
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