Organization
TREBLE CLEF TECHNOLOGIES
Active
Other names
Prepaid Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE ROBERT BURK (CEO)
(915) 490-3697
Entity
Organization
Contact information
Practice address
3233 TOMAHAWK ST, EL PASO, TX 79936-2315
(915) 490-3697
Mailing address
3233 TOMAHAWK ST, EL PASO, TX 79936-2315
(915) 490-3697
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
541611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51PK6
CAGE CODE FOR WAWF
TX
Enumeration date
06/23/2013
Last updated
06/23/2013
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