Organization
THP GRANBURY MC, LLC
Active
Other names
Granbury ER
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GUERRERO (ADMINISTRATOR)
(972) 294-9666
Entity
Organization
Contact information
Practice address
3801 E US HIGHWAY 377, GRANBURY, TX 76049-7619
(972) 294-9666
Mailing address
PO BOX 703135, DALLAS, TX 75370-3135
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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