Organization
SALVATION' INTERNATIONAL MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTIN LYUBIMOV (PRESIDENT)
(972) 784-5300
Entity
Organization
Contact information
Practice address
1341 COUNTY ROAD 557, FARMERSVILLE, TX 75442-7081
(972) 784-5300
Mailing address
1341 COUNTY ROAD 557, FARMERSVILLE, TX 75442-7081
(972) 784-5300
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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