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Organization
CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC.
Active
Organization
CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R TREBERT (OWNER)
(214) 634-0868
Entity
Organization
Contact information
Practice address
7606 PEBBLE DR, BLDG 28, FORT WORTH, TX 76118-6994
(214) 624-0868
(817) 595-8929
Mailing address
7606 PEBBLE DR, BLDG 28, FORT WORTH, TX 76118-6994
(214) 624-0868
(817) 358-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0052443
TX
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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