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Organization

SHA LLC

Active
Other names
FirstCare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEENAN FREEMAN (SR VICE PRESIDENT & CFO)
(512) 257-6209
Entity
Organization

Contact information

Practice address
12940 NORTH HIGHWAY 183, AUSTIN, TX 78750-3235
(512) 257-6209
(512) 257-6062
Mailing address
12940 NORTH HIGHWAY 183, AUSTIN, TX 78750-3235
(512) 257-6209
(512) 257-6062

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
13295
TX

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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