| Lt Medical & Technology | |
|
5931 Greenville Ave # 1102 Dallas TX 75206-1906 | |
| (312) 450-0857 | |
| Not Available |
| Full Name | Lt Medical & Technology |
|---|---|
| Speciality | Case Management |
| Location | 5931 Greenville Ave # 1102, Dallas, Texas |
| Authorized Official Name and Position | Rian Graham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2486570826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lt Medical & Technology Po Box 90061 East Point GA 30364-0061 Ph: () - | Lt Medical & Technology 5931 Greenville Ave # 1102 Dallas TX 75206-1906 Ph: (312) 450-0857 |
| NPI Number | 1659105799 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659105799 | NPI | - | NPPES |
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