LILLY MANAGEMENT
Managed Care Organizations at Fm 967, Creedmoor, TX

License number
Texas 9479
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. DEAN HOLDEN RUSHING D.C.
Title: GENERAL PARTNER
Phone: (512) 295-9345
Address
Address
1762 Fm 967 STE A, Creedmoor, TX 78610
National Provider ID: 1568643104
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LILLY MANAGEMENT, L.P

PO Box 113, Buda, TX 78610

Status:
Inactive
Registration:
Nov 2, 2007
State ID:
0800892909
Agent:
Erica Rushing,1762 Fm 967 SUITE A, Buda, TX 78610 (Physical)
TIN:
32034954886

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