Organization
CARES CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LANG BCBAD (CEO)
(512) 245-7892
Entity
Organization
Contact information
Practice address
601 UNIVERSITY DR, TEXAS STATE UNIVERSITY- CARES CLINIC, SAN MARCOS, TX 78666-4684
(512) 245-7892
(512) 245-5013
Mailing address
601 UNIVERSITY DR, TEXAS STATE UNIVERSITY- CARES CLINIC, SAN MARCOS, TX 78666-4684
(512) 245-7892
(512) 245-5013
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
OP142495
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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