Organization
PANCARE HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN O MBAH PHARM D (ADMINISTRATOR)
(817) 521-5144
Entity
Organization
Contact information
Practice address
3165 KINGSWOOD CT, MANSFIELD, TX 76063-7545
(817) 521-5144
Mailing address
PO BOX 156156, FORT WORTH, TX 76155-1156
(817) 521-5144
(682) 518-5706
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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