Provider Demographics
NPI:1174080212
Name:COMPLETE HEALTH MEDICAL CENTER PLLC
Entity type:Organization
Organization Name:COMPLETE HEALTH MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOZEF
Authorized Official - Middle Name:P
Authorized Official - Last Name:VERHAERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-937-0086
Mailing Address - Street 1:905 FERRIS AVE
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2556
Mailing Address - Country:US
Mailing Address - Phone:972-937-0086
Mailing Address - Fax:972-923-2351
Practice Address - Street 1:905 FERRIS AVE
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2556
Practice Address - Country:US
Practice Address - Phone:972-937-0086
Practice Address - Fax:972-923-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty