Organization
CHURCHILL EVALUATION CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNA RUSSELL (OFFICE MANAGER)
(817) 861-4600
Entity
Organization
Contact information
Practice address
2225 E RANDOL MILL RD STE 101, ARLINGTON, TX 76011-6354
(817) 861-4600
(817) 377-3610
Mailing address
PO BOX 120965, ARLINGTON, TX 76012-0965
(817) 861-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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