| Valiant Cardiopulmonary Independent Diagnostic Testing Facility | |
|
1010 W Jasper Dr Suite 11 Killeen TX 76542-1331 | |
| (254) 213-5425 | |
| (254) 616-9450 |
| Full Name | Valiant Cardiopulmonary Independent Diagnostic Testing Facility |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 W Jasper Dr, Killeen, Texas |
| Authorized Official Name and Position | Bettie Gene Hankins (PRESIDENT) |
| Authorized Official Contact | 2542135425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valiant Cardiopulmonary Independent Diagnostic Testing Facility 1010 W Jasper Dr Suite 11 Killeen TX 76542-1331 Ph: (254) 213-5425 | Valiant Cardiopulmonary Independent Diagnostic Testing Facility 1010 W Jasper Dr Suite 11 Killeen TX 76542-1331 Ph: (254) 213-5425 |
| NPI Number | 1720221765 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 12/14/2012 |
| Medicare PECOS PAC ID | 0749336832 |
|---|---|
| Medicare Enrollment ID | O20090915000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720221765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Secondary |
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