| Phca LLC | |
|
1325 Brentfield Dr Anna TX 75409-4267 | |
| (703) 395-9661 | |
| Not Available |
| Full Name | Phca LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 Brentfield Dr, Anna, Texas |
| Authorized Official Name and Position | Trent Ambrose Barton (FOUNDER CEO) |
| Authorized Official Contact | 7033959661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phca LLC 1325 Brentfield Dr Anna TX 75409-4267 Ph: (703) 395-9661 | Phca LLC 1325 Brentfield Dr Anna TX 75409-4267 Ph: (703) 395-9661 |
| NPI Number | 1689442741 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689442741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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