| Abilene Class | |
|
141 S Leggett Dr Abilene TX 79605-1667 | |
| (325) 676-1473 | |
| Not Available |
| Full Name | Abilene Class |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 141 S Leggett Dr, Abilene, Texas |
| Authorized Official Name and Position | Mary A Pank (PARALEGAL) |
| Authorized Official Contact | 5024202666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abilene Class 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | Abilene Class 141 S Leggett Dr Abilene TX 79605-1667 Ph: (325) 676-1473 |
| NPI Number | 1710325329 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710325329 | NPI | - | NPPES |
| 011967 | Other | TX | VENDOR NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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