Organization
CHRONIC CARE PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MITCHELL (ADMINISTRATOR)
(903) 744-9053
Entity
Organization
Contact information
Practice address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(903) 744-9053
(940) 427-7189
Mailing address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(903) 744-9053
(940) 427-7189
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659848133
NP
TX
Enumeration date
10/08/2019
Last updated
10/08/2019
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