| Cprc Holding Llc | |
|
25134 Oakhurst Dr Spring TX 77386-1421 | |
| (281) 630-3721 | |
| Not Available |
| Full Name | Cprc Holding Llc |
|---|---|
| Speciality | Counselor |
| Location | 25134 Oakhurst Dr, Spring, Texas |
| Authorized Official Name and Position | Glenn Bricken (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2813640067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cprc Holding Llc 25134 Oakhurst Dr Spring TX 77386-1421 Ph: (281) 630-3721 | Cprc Holding Llc 25134 Oakhurst Dr Spring TX 77386-1421 Ph: (281) 630-3721 |
| NPI Number | 1609093707 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609093707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 60602 (Texas) | Primary |
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