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Organization
PANHANDLE ACTIVITY CENTER LLC
Active
Organization
PANHANDLE ACTIVITY CENTER LLC
Active
Other names
FAMILY CARE CLINIC OF BUSHLAND
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY L JEFFREYS (ADMINISTRATOR)
(806) 532-2273
Entity
Organization
Contact information
Practice address
1600 S FM 2381, BUSHLAND, TX 79124-1900
(806) 310-9855
(806) 310-9857
Mailing address
PO BOX 10, PANHANDLE, TX 79068-0010
(806) 310-9855
(806) 310-9857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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