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Contact Information

LTC SUPPORT SERVICES PLLC
7620 DEER RUN
LEANDER, TX78641
 Phone: 512-699-8819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LTC SUPPORT SERVICES PLLC · (Female)

NPI # 1609396928
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # F1450
  • TX Medicaid 173205901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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