Organization
FORD BREWER MD, INC
Active
Parent organization
CHS HEALTH SERVICES, LLC
Other names
Tesla Fremont Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS HEALTH SERVICES, LLC
Authorized official
STUART CLARK (EXECUTIVE VP)
(615) 577-4927
Entity
Organization
Contact information
Practice address
45500 FREMONT BLVD, FREMONT, CA 94538-6326
(510) 249-3694
Mailing address
5500 MARYLAND WAY STE 200, BRENTWOOD, TN 37027-4973
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
08/22/2016
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