Organization
REBUIL-T HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELLEN NDUNGU FNP (NURSE PRACTITIONER)
(484) 620-3500
Entity
Organization
Contact information
Practice address
4841 WILLIAMS DR STE 103, GEORGETOWN, TX 78633-2006
(302) 981-6163
Mailing address
4841 WILLIAMS DR STE 103, GEORGETOWN, TX 78633-2006
(302) 981-6163
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/20/2022
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