| J And M Etccc. Inc | |
|
105 E Janis Dr Georgetown TX 78628-3615 | |
| (512) 591-7130 | |
| Not Available |
| Full Name | J And M Etccc. Inc |
|---|---|
| Speciality | Counselor |
| Location | 105 E Janis Dr, Georgetown, Texas |
| Authorized Official Name and Position | Michael Dave Halligan (OWNER) |
| Authorized Official Contact | 5125917130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J And M Etccc. Inc 105 E Janis Dr Georgetown TX 78628-3615 Ph: (512) 591-7130 | J And M Etccc. Inc 105 E Janis Dr Georgetown TX 78628-3615 Ph: (512) 591-7130 |
| NPI Number | 1538398516 |
|---|---|
| Provider Enumeration Date | 07/10/2009 |
| Last Update Date | 07/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538398516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 12569 (Texas) | Primary |
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