Organization
CAPSTONE HEALTH GRP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DESHOTEL (OWNER)
(870) 773-2376
Entity
Organization
Contact information
Practice address
300 OLIVE ST STE 505, TEXARKANA, AR 71854
(870) 773-2376
(870) 773-2517
Mailing address
300 OLIVE ST STE 505, TEXARKANA, AR 71854
(870) 773-2376
(870) 773-2517
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
332BP3500X
AR
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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