Organization
BRANCHING OUT CUSTOM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN LYNNETTE BAYER (OWNER)
(817) 312-7041
Entity
Organization
Contact information
Practice address
5047 KNIGHT LN, KRUM, TX 76249-7100
(817) 312-7041
Mailing address
5047 KNIGHT LN, KRUM, TX 76249-7100
(817) 312-7041
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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