Varsity Health Gb001 | |
13009 S Parker Rd # 319 Parker CO 80134-3449 | |
(972) 367-4845 | |
Not Available |
Full Name | Varsity Health Gb001 |
---|---|
Speciality | Family Medicine |
Location | 13009 S Parker Rd # 319, Parker, Colorado |
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 |
---|---|
Varsity Health Gb001 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (972) 367-4845 | Varsity Health Gb001 13009 S Parker Rd # 319 Parker CO 80134-3449 Ph: (972) 367-4845 |
NPI Number | 1538830443 |
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Provider Enumeration Date | 09/22/2021 |
Last Update Date | 09/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538830443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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