| The Ranch @ La Plata, Llc | |
|
121 West Fourth Hereford TX 79045-0000 | |
| (806) 360-3784 | |
| (806) 364-5097 |
| Full Name | The Ranch @ La Plata, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 West Fourth, Hereford, Texas |
| Authorized Official Name and Position | Warren P. Walker (CEO) |
| Authorized Official Contact | 8062920017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ranch @ La Plata, Llc 121 West Fourth Hereford TX 79045-0000 Ph: (806) 360-3784 | The Ranch @ La Plata, Llc 121 West Fourth Hereford TX 79045-0000 Ph: (806) 360-3784 |
| NPI Number | 1376869560 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376869560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3270-3171 (Texas) | Primary |
The Ranch At La Plata Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 West Fourth, Hereford, TX 79045 Phone: 806-360-3784 Fax: 806-364-5097 |