PRE DIABETES PHYSICIAN SERVICES INC
Medical Practice at 8 Ave, Fort Worth, TX

License number
Texas L4258
Category
Medical Practice
Type
Specialist
Owner
Name: RANDY MARFIN
Title: CEO
Phone: (512) 623-4919
Address
Address 2
8Th Ave STE 502, Fort Worth, TX 76104
3721 Executive Center Dr, Austin, TX 78731
National Provider ID: 1639581077
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRE DIABETES PHYSICIAN SERVICES INC at bizstanding.com

PRE DIABETES PHYSICIAN SERVICES, INC

800 Brazos St STE 400 C/O CAPITOL CORPOR, Austin, TX 78701

Registration:
Nov 12, 2012
State ID:
0801683264
Secretarys:
Andrew Itkin (Director), 3721 Execute Ctr Dr, Austin, TX 78731,George Rodgers (Director), 3721 Execute Ctr Dr, Austin, TX 78731,Kelly Boulden (Director), 3721 Execute Ctr Dr, Austin, TX 78731,...
TIN:
32049475067

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