| Ent Ambulatory Care Center Of Memphis, Inc. | |
|
791 Estate Pl Memphis TN 38120-0600 | |
| (901) 821-4317 | |
| (901) 821-4373 |
| Full Name | Ent Ambulatory Care Center Of Memphis, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 791 Estate Pl, Memphis, Tennessee |
| Authorized Official Name and Position | Rande H Lazar (OWNER) |
| Authorized Official Contact | 9018214317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ent Ambulatory Care Center Of Memphis, Inc. 27087 Gratiot Ave 2nd Fl Roseville MI 48066-2985 Ph: (586) 498-9440 | Ent Ambulatory Care Center Of Memphis, Inc. 791 Estate Pl Memphis TN 38120-0600 Ph: (901) 821-4317 |
| NPI Number | 1518248202 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518248202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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