Organization
ENTERPRISE PEDIATRIC CENTER OF DENISON LLC
Active
Other names
LifeSteps of Denison
Organization subpart
No
Provider details
NPI number
Authorized official
DALE L PHILLIPS JR. (MANAGER)
(903) 462-4085
Entity
Organization
Contact information
Practice address
2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
(903) 462-4085
Mailing address
2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
(903) 462-4085
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
07/31/2009
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