| Advanced Biogenetics And Life Sciences, Llc | |
|
112 Elsie Po 145 Panhandle TX 79068-0145 | |
| (806) 395-1001 | |
| Not Available |
| Full Name | Advanced Biogenetics And Life Sciences, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 Elsie, Panhandle, Texas |
| Authorized Official Name and Position | Paul T Baumgardner (PRINCIPAL/PRESIDENT) |
| Authorized Official Contact | 8063951001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Biogenetics And Life Sciences, Llc 112 Elsie Po 145 Panhandle TX 79068-0145 Ph: (806) 395-1001 | Advanced Biogenetics And Life Sciences, Llc 112 Elsie Po 145 Panhandle TX 79068-0145 Ph: (806) 395-1001 |
| NPI Number | 1689120354 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689120354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 74185 (Texas) | Primary |
Summit Life Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Main St # 1198, Panhandle, TX 79068 Phone: 817-219-5304 |