| Depot Bay,inc | |
|
805 Hill Blvd Suite 106 Granbury TX 76048-1481 | |
| (817) 579-7770 | |
| Not Available |
| Full Name | Depot Bay,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 805 Hill Blvd, Granbury, Texas |
| Authorized Official Name and Position | Rami Nader (PRESIDENT) |
| Authorized Official Contact | 7249719717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depot Bay,inc 5208 Bryant Irvin Rd Suite 3143 Fort Worth TX 76132-3826 Ph: () - | Depot Bay,inc 805 Hill Blvd Suite 106 Granbury TX 76048-1481 Ph: (817) 579-7770 |
| NPI Number | 1245550839 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 06/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245550839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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