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Organization
HEMORRHOID CARE CLINIC OF TEXAS
Active
Organization
HEMORRHOID CARE CLINIC OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECE J PANNELL (OFFICE MANAGER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
4230 LBJ FWY, SUITE 308, DALLAS, TX 75244-5806
(866) 994-2289
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004MP
BCBSTX
TX
05
—
174681001
—
TX
Enumeration date
08/28/2008
Last updated
08/28/2008
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