Organization
PECAN VALLEY MHMR REGION
Active
Other names
Pecan Valley Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L LEONARD (BILLING MANAGER)
(817) 579-4400
Entity
Organization
Contact information
Practice address
1601 N ANGLIN ST, CLEBURNE, TX 76031-1835
(817) 558-1121
Mailing address
2101 W PEARL ST, GRANBURY, TX 76048-1894
(817) 579-4400
(866) 452-5424
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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