Provider Demographics
NPI:1851716690
Name:HEALTH WATCH HEALTH CARE OF DUNCAN, LLC
Entity Type:Organization
Organization Name:HEALTH WATCH HEALTH CARE OF DUNCAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-905-4810
Mailing Address - Street 1:3310 LAMAR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5024
Mailing Address - Country:US
Mailing Address - Phone:903-905-4810
Mailing Address - Fax:903-905-4812
Practice Address - Street 1:2124 N HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1294
Practice Address - Country:US
Practice Address - Phone:580-251-9536
Practice Address - Fax:580-251-9658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health