| Source One North Plano Llc | |
|
8080 Independence Pkwy Ste 110a Plano TX 75025-4000 | |
| (972) 801-2190 | |
| (972) 801-2191 |
| Full Name | Source One North Plano Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 8080 Independence Pkwy Ste 110a, Plano, Texas |
| Authorized Official Name and Position | William Garret Harrell (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 2148082724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Source One North Plano Llc Po Box 251728 Plano TX 75025-1517 Ph: (972) 801-2190 | Source One North Plano Llc 8080 Independence Pkwy Ste 110a Plano TX 75025-4000 Ph: (972) 801-2190 |
| NPI Number | 1437906989 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437906989 | NPI | - | NPPES |
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