Organization · Type 2 NPI
Cerulean Koi LLC
Health Service Clinic/Center · Arlington, TX
NPI number
1700624004
Active
Practice location
110 W Randol Mill Rd Ste 243
Arlington, TX 76011-4611
Fax (469) 833-4712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1700624004
Cerulean Koi LLC's National Provider Identifier is 1700624004, issued on Jul 19, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Arlington, TX. The record was last updated on Jul 19, 2024.