Organization
FOUNTAINS OF RICHMOND, LLC
Active
Other names
Fountains of Richmond, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WADE PHILLIPS (OWNER)
(346) 560-7080
Entity
Organization
Contact information
Practice address
7103 S PEEK RD STE 300B, RICHMOND, TX 77407-3770
(346) 560-7080
(346) 560-7081
Mailing address
7103 S PEEK RD STE 300B, RICHMOND, TX 77407-3770
(346) 560-7080
(346) 560-7081
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
12/20/2024
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