Organization
CAREATC-RICHARDSON-14249-60
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIR. OF PURCHASING AND FACILITIES)
(918) 779-7416
Entity
Organization
Contact information
Practice address
1060 W CAMPBELL RD STE 300, RICHARDSON, TX 75080-2941
(918) 779-7416
Mailing address
1060 W CAMPBELL RD STE 300, RICHARDSON, TX 75080-2941
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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