| Phoenix Flames Pllc | |
|
111 E Gilmer St Big Sandy TX 75755-2130 | |
| (903) 920-4661 | |
| Not Available |
| Full Name | Phoenix Flames Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 E Gilmer St, Big Sandy, Texas |
| Authorized Official Name and Position | Bradley Joseph Armendariz (OWNER) |
| Authorized Official Contact | 9039204661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Flames Pllc 111 E Gilmer St Big Sandy TX 75755-2130 Ph: (903) 920-4661 | Phoenix Flames Pllc 111 E Gilmer St Big Sandy TX 75755-2130 Ph: (903) 920-4661 |
| NPI Number | 1427838762 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427838762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |