Organization
PICC LINE PROFESSIONAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D DILLARD R.N. (OWNER)
(512) 573-3531
Entity
Organization
Contact information
Practice address
503 UHLAND RD, TRLR 43, SAN MARCOS, TX 78666-6680
(512) 322-2030
(512) 938-1016
Mailing address
PO BOX 225, SAN MARCOS, TX 78667-0225
(512) 322-2030
(512) 938-1016
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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