Organization
FRIENDSHIP HEALTH COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP MOORE (OWNER)
(903) 819-6385
Entity
Organization
Contact information
Practice address
1520 E DENMAN AVE STE 120, LUFKIN, TX 75901-5802
(936) 994-7010
Mailing address
1520 E DENMAN AVE STE 120, LUFKIN, TX 75901-5802
(936) 994-7010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
231H00000X
Audiologist
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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