| Luckey Farms Llc | |
|
10252 W Adams Ave Ste 104a Temple TX 76502-5849 | |
| (254) 780-6344 | |
| Not Available |
| Full Name | Luckey Farms Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10252 W Adams Ave Ste 104a, Temple, Texas |
| Authorized Official Name and Position | Kacie Dawn (CO-OWNER) |
| Authorized Official Contact | 2545410656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luckey Farms Llc 10252 W Adams Ave Ste 104a Temple TX 76502-5849 Ph: (254) 780-6344 | Luckey Farms Llc 10252 W Adams Ave Ste 104a Temple TX 76502-5849 Ph: (254) 780-6344 |
| NPI Number | 1457116105 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457116105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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