| Varsity Health Pal008 | |
|
13009 S Parker Rd # 319 Parker CO 80134-3449 | |
| (972) 367-4845 | |
| (972) 367-3451 |
| Full Name | Varsity Health Pal008 |
|---|---|
| Speciality | Family Medicine |
| Location | 13009 S Parker Rd # 319, Parker, Colorado |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Varsity Health Pal008 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (972) 367-4845 | Varsity Health Pal008 13009 S Parker Rd # 319 Parker CO 80134-3449 Ph: (972) 367-4845 |
| NPI Number | 1104597913 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104597913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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