Organization
COVENANT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK LYNN GILLIANS RRT (RRT/OWNER)
(817) 909-9842
Entity
Organization
Contact information
Practice address
7923 DECOY DR, ARLINGTON, TX 76002-4549
(817) 909-9842
Mailing address
7923 DECOY DR, ARLINGTON, TX 76002-4549
(817) 909-9842
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
69975
TX
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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