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NPI Code Detail

MEDICARE: STRATEGIC BINARY SOLUTIONS LLC

MEDICARE: STRATEGIC BINARY SOLUTIONS LLC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1902449333
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRATEGIC BINARY SOLUTIONS LLC
Provider Business Mailing Address
First Line : 13030 AUDELIA RD
Second Line : 2190
City : DALLAS
State : TX
Zip : 75243-2471
Country : US
Telephone Number : 214-861-0541
Fax Number :
Provider Business Practice Location Address
First Line : 13030 AUDELIA RD
Second Line : 2190
City : DALLAS
State : TX
Zip : 75243-2471
Country : US
Telephone Number : 214-861-0541
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SELENA BRELAND
Credential :
Telephone Number : 214-861-0541
Provider Enumeration Date : 10/17/2019
Last Update Date : 10/17/2019

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Directions to “STRATEGIC BINARY SOLUTIONS LLC ” Practice Location

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