<Unavail>

LBN: Fmc - Deep East Texas Llc
<Unavail> is an health care organization with primary practice located at 317 W Church St Suite 112, Livingston TX 77351-3201. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Fmc - Deep East Texas Llc can be contacted via phone (936) 327-9991, or through Fogle, Rich via phone (904) 493-6748.

Contact Information

Primary practice address
317 W Church St Suite 112 Livingston TX 77351-3201
Phone: (936) 327-9991
Fax: (936) 327-9995
Website:
Map and Directions
Authorized official contact:
Name: Fogle, Rich
Phone: (904) 493-6748

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 010406 Texas

Profile Details

NPI number 1083662852
LBN Legal business name Fmc - Deep East Texas Llc
DBA Doing business as <Unavail>
Authorized official Fogle, Rich
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated May 17th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083662852 NPPES
Texas Other 010406 STATE LICENSE
Texas MEDICAID 001014561 STATE LICENSE

Popular Providers