EBOTAGBORNDANG MBI

FORT WORTH, TX
NPI1629254925
Doing Business AsUS CARE
Entity TypeOrganization
Authorized ContactEBOTAGBORNDANG MBI
Director
713-202-9177
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2008-01-16
Last Update Date2009-01-07
Business Address
EBOTAGBORNDANG MBI
3951 KIRBY DR 532
FORT WORTH, TX 76155-3925
Phone number: 713-202-9177
Mailing Address
EBOTAGBORNDANG MBI
3951 KIRBY DR 532
FORT WORTH, TX 76155-3925
Phone number: 713-202-9177