Organization
RELIANT TRANSITIONAL CARE OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCDONOUGH (CEO)
(972) 447-9800
Entity
Organization
Contact information
Practice address
5212 VILLAGE CREEK DR, PLANO, TX 75093-5066
(972) 447-9800
Mailing address
5212 VILLAGE CREEK DR, PLANO, TX 75093-5066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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