Organization
COUNTY OF CLAY
Active
Other names
CCMH CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HAEHN (CFO)
(940) 538-5621
Entity
Organization
Contact information
Practice address
412 S ARCHER, HENRIETTA, TX 76365
(940) 235-1202
(940) 235-1215
Mailing address
310 W SOUTH ST, HENRIETTA TX 76365, HENRIETTA, TX 76365-3346
(940) 235-1202
(940) 235-1215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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