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Organization

TRIBUTE HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL DOAN (OWNER)
(972) 722-3564
Entity
Organization

Contact information

Practice address
107 CLYDESDALE DR, FATE, TX 75087-6858
(972) 722-3564
Mailing address
PO BOX 473, ROCKWALL, TX 75087-0473

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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