Csl 2015 Athens Llc

Specialty details in registry · Athens, TX

Call (903) 675-1995 Directions

At a glance

413 Gibson Rd, Athens, TX 75751-5750

NPPES record updated Jan 29, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

413 Gibson Rd
Athens, TX 75751-5750
Professional details: NPI, taxonomy & registry record
NPI1730547241
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Jan 29, 2016
Record updated
Jan 29, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: 142240 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

413 Gibson Rd
Athens, TX 75751-5750
Phone
(903) 675-1995
Mailing address
3973 W VICKERY BLVD
SUITE 101
FORT WORTH, TX 761076492
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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