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Organization

FCI THREE RIVERS

Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes

Provider details

NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
DR. DENNY KEITH THARP D.O. (CLINICAL DIRECTOR)
(361) 786-3576
Entity
Organization

Contact information

Practice address
HWY 72 WEST, THREE RIVERS, TX 78071
(361) 786-3576
(361) 786-5061
Mailing address
P.O. BOX 4000, THREE RIVERS, TX 78071-0400
(361) 786-3576
(361) 786-5061

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E6182
TX

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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