VCPHCS XVIII,LLC
Ambulatory Health at Tenaha St, Waterman, TX

License number
Texas 1000039
Category
Ambulatory Health
Type
Methadone
Owner
Name: MR. JAMES FREDERICK DRAUDT
Title: COO
Phone: (214) 365-6111
Address
Address 2
1110 Tenaha St SUITE 5, Waterman, TX 75935
8300 Douglas Ave SUITE 750, Dallas, TX 75225
National Provider ID: 1730525759
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VCPHCS XVIII,LLC at bizstanding.com

VCPHCS XVIII, LLC

Dallas, TX

Registration:
Nov 15, 2012
Addresses:
1999 Bryan St STE 900, Dallas, TX 75201 (Mailing)
8300 Douglas Ave, Dallas, TX 75225
State ID:
0801685074
Business type:
Foreign Limited Liability Company (LLC)
Entity State:
DE
Chief Executive Offis:
James Draudt (Secretary), 8300 Douglas Ave SUITE 750, Dallas, TX 75225,Michael Cannizzaro (Chief Exec), 8300 Douglas Ave SUITE 750, Dallas, TX 75225,Michael Cannezzaro (Chief Executive Offi)
Agent:
Ct Corporation Systems,1999 Bryan St, Dallas, TX 75201 (Physical)
TIN:
32049503488

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