| Shots On Site Llc | |
|
3671 Broadway Blvd Ste 400 Garland TX 75043-1686 | |
| (972) 840-0001 | |
| Not Available |
| Full Name | Shots On Site Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3671 Broadway Blvd Ste 400, Garland, Texas |
| Authorized Official Name and Position | Andrew K Cummings (OWNER) |
| Authorized Official Contact | 9728400001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shots On Site Llc 3671 Broadway Blvd Ste 400 Garland TX 75043-1686 Ph: (972) 840-0001 | Shots On Site Llc 3671 Broadway Blvd Ste 400 Garland TX 75043-1686 Ph: (972) 840-0001 |
| NPI Number | 1952788317 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952788317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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