Organization
ULTRA HYDRO VASCULAR SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAN ALLISON PH.D., FSVM (PRESIDENT & CEO)
(254) 230-8296
Entity
Organization
Contact information
Practice address
5010 LAKELAND CIRCLE, SUITE B, WACO, TX 76710-2981
(254) 230-8296
(254) 754-4494
Mailing address
875 AUSTIN HINES DR, CHINA SPRING, TX 76633-2874
(254) 230-8296
(254) 754-4494
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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