Centex | |
4312 Old Scioto Trl Portsmouth OH 45662-6642 | |
(859) 236-7913 | |
Not Available |
Full Name | Centex |
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Speciality | Nurse Practitioner |
Location | 4312 Old Scioto Trl, Portsmouth, Ohio |
Authorized Official Name and Position | Jamie Durham (MANAGING MEMBER) |
Authorized Official Contact | 8596056390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centex Po Box 1430 Frankfort KY 40602-1430 Ph: (502) 226-3858 | Centex 4312 Old Scioto Trl Portsmouth OH 45662-6642 Ph: (859) 236-7913 |
NPI Number | 1639429731 |
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Provider Enumeration Date | 09/16/2012 |
Last Update Date | 09/16/2012 |
Identifier | Type | State | Issuer |
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1639429731 | NPI | - | NPPES |
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