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NPI Code Detail

MEDICARE: PINNACLE HEALTH SERVICES

MEDICARE: PINNACLE HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1033365184
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH SERVICES
Provider Business Mailing Address
First Line : 5301 39TH ST
Second Line :
City : GROVES
State : TX
Zip : 77619-2911
Country : US
Telephone Number : 409-626-1382
Fax Number : 409-962-2451
Provider Business Practice Location Address
First Line : 5301 39TH ST
Second Line :
City : GROVES
State : TX
Zip : 77619-2911
Country : US
Telephone Number : 409-626-1382
Fax Number : 409-962-2451
Authorized Official
Title or Position : PRESIDENT
Name : KIMBERLY D MOORE
Credential :
Telephone Number : 443-253-8223
Provider Enumeration Date : 08/08/2008
Last Update Date : 08/08/2008

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Directions to “PINNACLE HEALTH SERVICES ” Practice Location

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