FALLEN TREE CORP is a general practice in Manor, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee FALLEN TREE CORP NPI is 1841467727. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
11416 RUNNEL RIDGE RD
MANOR, TX
ZIP 78653-874
Phone: (512) 760-0666
Fax: (866) 265-1725
The provider's authorized official is Peyton Thompson .
The authorized official title is Owner, President and has the following contact phone number (512) 760-0666.
The CLIA number assigned to this NPI record is 45D2255798 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/10/2008 and was last updated on 9/6/2023.