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General NPI Number Information
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NPI Number | 1760487284
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Entity Type | Organization
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Legal Business Name | CROSS TIMBERS HEALTH CLINICS, INC.
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 404 W COMMERCE ST
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City | EASTLAND
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State | TX
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Zip | 76448-2600
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Country | US
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Telephone | 254-893-5895
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Fax | 254-893-5222
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Provider Business Mailing Address
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Address Line | 1100 W REYNOSA AVE
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City | DE LEON
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State | TX
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Zip | 76444-1630
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Country | US
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Telephone | 254-893-5895
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Fax | 254-893-5222
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. SHERRY L HILL
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Credential | MPA
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Telephone | 254-893-5895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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