Organization
BCA OF TEXAS LLC
Active
Other names
BCA Permian Basin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R CORNELISON (CEO)
(254) 939-4026
Entity
Organization
Contact information
Practice address
3300 S FM 1788, MIDLAND, TX 79706-2601
(254) 939-4026
(254) 939-2334
Mailing address
3300 S FM 1788, MIDLAND, TX 79706-2601
(254) 939-4026
(254) 939-2334
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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