| Equuslibrium Pc | |
|
880 Prospector Trl Ste 100 Harker Heights TX 76548-2700 | |
| (254) 690-1512 | |
| (254) 690-1532 |
| Full Name | Equuslibrium Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 880 Prospector Trl Ste 100, Harker Heights, Texas |
| Authorized Official Name and Position | Amber Denae Quaranta-leech (OWNER) |
| Authorized Official Contact | 3256605434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equuslibrium Pc 880 Prospector Trl Ste 100 Harker Heights TX 76548-2700 Ph: (254) 690-1512 | Equuslibrium Pc 880 Prospector Trl Ste 100 Harker Heights TX 76548-2700 Ph: (254) 690-1512 |
| NPI Number | 1184055493 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184055493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65461 (Texas) | Primary |
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