Provider Demographics
NPI:1356447791
Name:PEOPLE'S CLINIC OF DENTON COUNTY, INC.
Entity Type:Organization
Organization Name:PEOPLE'S CLINIC OF DENTON COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:940-387-2020
Mailing Address - Street 1:505 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6021
Mailing Address - Country:US
Mailing Address - Phone:940-387-2020
Mailing Address - Fax:940-387-2453
Practice Address - Street 1:505 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6021
Practice Address - Country:US
Practice Address - Phone:940-387-2020
Practice Address - Fax:940-387-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service