Organization
PATHWAY HEALTHCARE, LLC
Active
Other names
PATHWAY PARTNERS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BOECKMAN (MANAGER)
(214) 522-7296
Entity
Organization
Contact information
Practice address
20 HUGHES RD STE 101, MADISON, AL 35758-2434
(256) 325-1556
Mailing address
2911 TURTLE CREEK BLVD STE 1240, DALLAS, TX 75219-6277
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
11/10/2016
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