Organization
HCC OF CARROLL COUNTY LLC
Active
Organization
HCC OF CARROLL COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE O'BRIEN (CFO)
(972) 978-3730
Entity
Organization
Contact information
Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
Mailing address
17304 PRESTON RD STE 1400, DALLAS, TX 75252-5633
(866) 931-8882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/18/2021
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