| Salesian High School | |
|
2851 Salesian Ave Richmond CA 94804-1025 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Salesian High School |
|---|---|
| Speciality | Family Medicine |
| Location | 2851 Salesian Ave, Richmond, California |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salesian High School 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Salesian High School 2851 Salesian Ave Richmond CA 94804-1025 Ph: (972) 367-4845 |
| NPI Number | 1659018901 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659018901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Secondary |
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