Organization
LIVE FREE MEDICAL CLINIC PLLC
Active
Other names
Live Free Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED PARKER HARDIN MBA (OPERATIONS DIRECTOR)
(210) 241-7990
Entity
Organization
Contact information
Practice address
1312 GENEVA ST STE B, CASTROVILLE, TX 78009-2941
(210) 580-4880
(830) 584-0409
Mailing address
1312 GENEVA ST STE B, CASTROVILLE, TX 78009-2941
(210) 580-4880
(830) 584-0409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
J1258
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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