| Troy Alonzo Enis Jr.,inc. | |
|
502 Hill St Bastrop TX 78602-3949 | |
| (512) 308-1220 | |
| Not Available |
| Full Name | Troy Alonzo Enis Jr.,inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 502 Hill St, Bastrop, Texas |
| Authorized Official Name and Position | Troy Alonzo Enis (PRESIDENT) |
| Authorized Official Contact | 5123081220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Alonzo Enis Jr.,inc. 502 Hill St Bastrop TX 78602-3949 Ph: () - | Troy Alonzo Enis Jr.,inc. 502 Hill St Bastrop TX 78602-3949 Ph: (512) 308-1220 |
| NPI Number | 1598043085 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 08/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598043085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65953 (Texas) | Primary |
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