Organization
INGRAM HEALTH CONSULTING
Active
Parent organization
INGRAM HEALTH CONSULTING
Other names
BEACON INTEGRATED HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INGRAM HEALTH CONSULTING
Authorized official
ANTONIO DENARD INGRAM APRN (FNP)
(903) 280-8173
Entity
Organization
Contact information
Practice address
1250 S RUNNELS ST, DE KALB, TX 75559-2317
(903) 280-8173
Mailing address
118 WOOD ST OFC 1, DE KALB, TX 75559-2112
(903) 280-8173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2020
Last updated
06/09/2020
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