Organization
PENTACLE EXAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE ESQUIVEL (DIRECTOR OF OPERATIONS)
(512) 618-9771
Entity
Organization
Contact information
Practice address
5127 MARSH LN, BUDA, TX 78610-5114
(512) 618-9771
(888) 979-6770
Mailing address
5127 MARSH LN, BUDA, TX 78610-5114
(512) 618-9771
(888) 979-6770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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