| Clydies Place | |
|
424 Henderson St Pittsburg TX 75686-1118 | |
| (903) 855-0845 | |
| (903) 855-0746 |
| Full Name | Clydies Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 424 Henderson St, Pittsburg, Texas |
| Authorized Official Name and Position | Virginia Thurman (OWNER) |
| Authorized Official Contact | 9038550845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clydies Place Po Box 596 Pittsburg TX 75686-0596 Ph: (903) 855-0845 | Clydies Place 424 Henderson St Pittsburg TX 75686-1118 Ph: (903) 855-0845 |
| NPI Number | 1205448131 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205448131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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