Abc123 Dental In Crowley Pllc

LBN: Abc123 Dental In Crowley Pllc
Abc123 Dental In Crowley Pllc is an health care organization with primary practice located at 200 E Main St Ste C , Crowley TX 76036-2600. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Abc123 Dental In Crowley Pllc can be contacted via phone (817) 496-2343, or through Flores, Angela via phone (817) 496-2343.

Contact Information

Primary practice address
200 E Main St Ste C Crowley TX 76036-2600
Phone: (817) 496-2343
Fax: (817) 665-3822
Website:
Map and Directions
Authorized official contact:
Name: Flores, Angela
Phone: (817) 496-2343

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 24570 Texas

Profile Details

NPI number 1962827758
LBN Legal business name Abc123 Dental In Crowley Pllc
DBA Doing business as
Authorized official Flores, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2014
Last updated Mar 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962827758 NPPES
Texas MEDICAID 1558597963

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