| Ltc Support Services Pllc | |
|
7620 Deer Run Leander TX 78641 | |
| (512) 699-8819 | |
| Not Available |
| Full Name | Ltc Support Services Pllc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 7620 Deer Run, Leander, Texas |
| Authorized Official Name and Position | James Painter Chudleigh (OWNER) |
| Authorized Official Contact | 5126998819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Support Services Pllc 7620 Deer Run Leander TX 78641-6108 Ph: (512) 699-8819 | Ltc Support Services Pllc 7620 Deer Run Leander TX 78641 Ph: (512) 699-8819 |
| NPI Number | 1609396928 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609396928 | NPI | - | NPPES |
| 173205901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | F1450 (Texas) | Primary |
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