Organization
PHC & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN O'ROURKE (PRESIDENT)
(214) 265-7810
Entity
Organization
Contact information
Practice address
11601 PLANO RD STE 107, DALLAS, TX 75243-5244
(214) 265-7810
(214) 265-7817
Mailing address
11601 PLANO RD STE 107, DALLAS, TX 75243-5244
(214) 265-7810
(214) 265-7817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0085720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000531745
BLUE CROSS BLUE SHIELD
TX
05
—
016900501
—
TX
05
—
167157001
—
TX
Enumeration date
06/14/2006
Last updated
03/13/2009
Update your record
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