| Capaha Park Inpatient Services, Llc | |
|
1701 Lacey St Cape Girardeau MO 63701-5230 | |
| (573) 334-4822 | |
| (214) 712-2444 |
| Full Name | Capaha Park Inpatient Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 Lacey St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Gregory James Byrne (OWNER) |
| Authorized Official Contact | 2147122000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capaha Park Inpatient Services, Llc 1717 Main St Suite 5200 Dallas TX 75201-4612 Ph: (214) 712-2000 | Capaha Park Inpatient Services, Llc 1701 Lacey St Cape Girardeau MO 63701-5230 Ph: (573) 334-4822 |
| NPI Number | 1457614745 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457614745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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