Organization
OSNT DENTON PLLC
Active
Parent organization
CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Authorized official
JAMES E FROSCH (PRACTICE ADMINISTRATOR)
(817) 774-5004
Entity
Organization
Contact information
Practice address
2535 W OAK ST, DENTON, TX 76201-2331
(940) 382-1577
(940) 387-5471
Mailing address
220 N RIDGEWAY DR, CLEBURNE, TX 76033-4115
(817) 556-4800
(817) 774-5015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752233121
TAX IDENTIFICATION
TX
Enumeration date
03/18/2019
Last updated
03/18/2024
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