Organization
GENETIC RISK CONSULTING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE CLIFFORD MD (PRESIDENT)
(469) 563-7333
Entity
Organization
Contact information
Practice address
9430 COUNTY ROAD 4074, SCURRY, TX 75158-4730
(469) 563-7333
(214) 481-7238
Mailing address
9430 COUNTY ROAD 4074, SCURRY, TX 75158-4730
(469) 563-7333
(214) 481-7238
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
J6380
TX
261QM2500X
Medical Specialty Clinic/Center
J6380
TX
291U00000X
Clinical Medical Laboratory
J6380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3680
MEDICAL LICENSE
TX
Enumeration date
11/21/2017
Last updated
11/30/2020
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