P.e.e.r. Pals, Llc | |
200 W 2nd St 228-a Freeport TX 77541-5773 | |
(713) 724-3603 | |
Not Available |
Full Name | P.e.e.r. Pals, Llc |
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Speciality | Community/behavioral Health |
Location | 200 W 2nd St, Freeport, Texas |
Authorized Official Name and Position | Travett Robinson Johnson (OWNER) |
Authorized Official Contact | 7137243603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.e.e.r. Pals, Llc 200 W 2nd St 228-a Freeport TX 77541-5773 Ph: (713) 724-3603 | P.e.e.r. Pals, Llc 200 W 2nd St 228-a Freeport TX 77541-5773 Ph: (713) 724-3603 |
NPI Number | 1447700166 |
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Provider Enumeration Date | 10/05/2016 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447700166 | NPI | - | NPPES |
325808902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 68632 (Texas) | Primary |