Organization
BOBBYBOOTCAMPS
Active
Other names
BOBBYBOOTCAMPS
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY C CRAIG LMT (OWNER)
(512) 771-8609
Entity
Organization
Contact information
Practice address
2960 DONNELL DR, ROUND ROCK, TX 78664-5709
(512) 771-8609
Mailing address
2960 DONNELL DR, ROUND ROCK, TX 78664-5709
(512) 771-8609
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT037974
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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