Organization
DENTON COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALICE MASCIARELLI RN (EXECUTIVE DIRECTOR)
(940) 600-7527
Entity
Organization
Contact information
Practice address
525 S LOCUST ST, SUITE 200, DENTON, TX 76201-6023
(940) 600-7527
(940) 383-1251
Mailing address
525 S LOCUST ST, SUITE 200, DENTON, TX 76201-6023
(940) 600-7527
(940) 383-1251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319434201
—
TX
Enumeration date
12/12/2011
Last updated
12/17/2013
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