Organization
BCONNECTED
Active
Parent organization
HEALTHTRUST
Other names
HEALTHTRUST
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHTRUST
Authorized official
ALISON J JENKINS (PATIENT)
(601) 685-0484
Entity
Organization
Contact information
Practice address
21427 COZY HOLLOW LN, RICHMOND, TX 77469-5663
(601) 685-0484
Mailing address
21427 COZY HOLLOW LN, RICHMOND, TX 77469-5663
(601) 685-0484
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
876934
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109326485
BCONNECTED
TX
Enumeration date
01/05/2017
Last updated
01/05/2017
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