Organization
PHASE SEMINARS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. VINCENT J YERO (EXECUTIVE DIRECTOR)
(972) 746-6268
Entity
Organization
Contact information
Practice address
4144 WIMBLEDON DR, FLOWER MOUND, TX 75028-1550
(972) 746-6268
Mailing address
4144 WIMBLEDON DR, FLOWER MOUND, TX 75028-1550
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
80315
TX
332S00000X
Hearing Aid Equipment
Primary
80315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199606802
—
TX
Enumeration date
03/06/2013
Last updated
03/06/2013
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