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General NPI Number Information
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NPI Number | 1700425337
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Entity Type | Organization
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Legal Business Name | ACUTE CARE OF TEXAS
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Dates
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Enumeration Date | 12/30/2019
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 2755 E DESERT INN RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89121-3694
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Country | US
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Telephone | 702-765-5000
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Fax | 702-765-5003
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Provider Business Mailing Address
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Address Line | 2755 E DESERT INN RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89121-3694
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | KATRECA ORMOND
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Credential |
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Telephone | 702-765-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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