Organization
4C INTERNATIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY S CONNALLY RNFA (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
240 PRIVATE ROAD 1182, ALVORD, TX 76225-7607
(214) 227-2457
(214) 764-0880
Mailing address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
856822
TX
Other
Enumeration date
12/27/2016
Last updated
12/28/2022
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