Organization
DENOVO THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MCCAULEY (DIRECTOR)
(806) 370-3157
Entity
Organization
Contact information
Practice address
2345 50TH ST STE 501, LUBBOCK, TX 79412-2565
(806) 370-3157
(806) 243-4002
Mailing address
6803 INDIANA AVE, LUBBOCK, TX 79413-6109
(806) 370-3157
(806) 243-4002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
12/09/2020
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