Organization
EXCEPTIONAL H C ORANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED S MAHBOUBI (CFO)
(469) 341-7800
Entity
Organization
Contact information
Practice address
1321 N 16TH ST, ORANGE, TX 77630-3609
(469) 341-7800
Mailing address
1321 N 16TH ST, ORANGE, TX 77630-3609
(469) 341-7800
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
07/23/2020
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