Provider Demographics
NPI:1831320076
Name:MEMPHIS TR CENTERS, PLLC
Entity Type:Organization
Organization Name:MEMPHIS TR CENTERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:POSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-498-9440
Mailing Address - Street 1:27087 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2985
Mailing Address - Country:US
Mailing Address - Phone:800-695-3755
Mailing Address - Fax:
Practice Address - Street 1:995 S YATES RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0882
Practice Address - Country:US
Practice Address - Phone:800-695-3755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty