Organization
PROMO TX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HATTEN (PARTNER)
(858) 792-3460
Entity
Organization
Contact information
Practice address
2704 SHERRILL PARK CT, RICHARDSON, TX 75082-3213
(858) 792-3460
(858) 792-3461
Mailing address
2704 SHERRILL PARK CT, RICHARDSON, TX 75082-3213
(858) 792-3460
(858) 792-3461
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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