Organization
COMPREHENSIVE HEALTH SERVICES
Active
Other names
The SCOOTER Store Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STUART CLARK (EXECUTIVE VP)
(703) 760-0700
Entity
Organization
Contact information
Practice address
1672 INDEPENDENCE DR, BUILDING 2, NEW BRAUNFELS, TX 78132-3880
(830) 627-4722
(830) 643-1560
Mailing address
8229 BOONE BLVD, VIENNA, VA 22182-2623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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