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NPI Code Detail

MEDICARE: HEALTH STOP LLC

MEDICARE: HEALTH STOP 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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2149880OTHERCOAETNA

General Provider Information

NPI Number : 1093860363
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH STOP LLC
Provider Business Mailing Address
First Line : 17950 PRESTON RD
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75252-5793
Country : US
Telephone Number : 972-354-5720
Fax Number : 972-354-5747
Provider Business Practice Location Address
First Line : 1325 DENVER AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80537-5120
Country : US
Telephone Number : 970-350-5035
Fax Number : 970-350-5038
Authorized Official
Title or Position : PRESIDENT
Name : DAVID MARKS
Credential :
Telephone Number : 972-354-5720
Provider Enumeration Date : 01/24/2007
Last Update Date : 06/13/2008

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Directions to “HEALTH STOP LLC ” Practice Location

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