Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1508938424 |
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| LBN Legal business name | HICO CLINIC, P.A. | ||||||||||||||||
| Authorized official | BILLY DAYTON - (ADMINISTRATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 11/15/2006 | ||||||||||||||||
| Last updated | 01/28/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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