Organization
HOME CARE IMAGE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BLANKS RN (ADMINISTRATOR)
(903) 887-2278
Entity
Organization
Contact information
Practice address
103 W MOUNT VERNON ST, STE. B, MABANK, TX 75147-2117
(903) 887-2278
(903) 887-7525
Mailing address
PO BOX 790, MABANK, TX 75147-0790
(903) 887-2278
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
007235
TX
Other
Enumeration date
05/15/2007
Last updated
10/25/2007
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