1661 W 2Nd Corsicana Services, Llc

LBN: 1661 W 2Nd Corsicana Services, Llc
1661 W 2Nd Corsicana Services, Llc is an health care organization with primary practice located at 1661 W 2Nd Ave , Corsicana TX 75110-4107. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 1661 W 2Nd Corsicana Services, Llc can be contacted via phone (903) 872-1661, or through Grumbos, Peter via phone (903) 872-1661.

Contact Information

Primary practice address
1661 W 2Nd Ave Corsicana TX 75110-4107
Phone: (903) 872-1661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Surgery (DDS)
Phone: (903) 872-1661

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1083234744
LBN Legal business name 1661 W 2Nd Corsicana Services, Llc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2020
Last updated Apr 23rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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