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Tabula Rasa, Pllc
Preferred Provider Organization in Crab Orchard, West Virginia
NPI 1407396773

Tabula Rasa, Pllc is a Preferred Provider Organization based in Crab Orchard, WV. Tabula Rasa, Pllc practices in Crab Orchard, WV. The NPI Number for Tabula Rasa, Pllc is 1407396773 and holds a License No. 19121 (West Virginia).

The current practice location address for Tabula Rasa, Pllc is 1296 Robert C. Byrd Drive, Crab Orchard, WV and can be reached out via phone at 681-238-5957 and via fax at 681-238-5958.

Location: 1296 Robert C. Byrd Drive, Crab Orchard, WV, 25827-0415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407396773
Provider Name
Tabula Rasa, Pllc
Credential
Provider Entity Type
Organization
Address
1296 Robert C. Byrd Drive, Crab Orchard, WV, 25827-0415
Phone Number
681-238-5957
Fax Number
681-238-5958
Provider Enumeration Date
03/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1296 Robert C. Byrd Drive
City
Crab Orchard
State
West Virginia
Zip
25827
Phone Number
681-238-5957
Fax Number
681-238-5958
person
Provider Business Mailing Address Details
Address
1296 Robert C. Byrd Drive
City
Crab Orchard
State
West Virginia
Zip
25827
Phone Number
681-238-5957
Fax Number
681-238-5958
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
19121 (West Virginia)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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