Organization
ALIPUI VAN LARES TRANSITIONS MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINE ALIPUI VAN LARE MD (OWNER)
(281) 450-2040
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
(972) 616-4932
Mailing address
1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
(972) 616-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3061
TX
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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