Eclipse Clinic Pllc

LBN: Eclipse Clinic Pllc
Eclipse Clinic Pllc is an health care organization with primary practice located at 1006 Legacy Ranch Rd 104, Waxahachie TX 75165. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Eclipse Clinic Pllc can be contacted via phone (817) 826-4604, or through Leek, Dustin via phone (817) 526-4604.

Contact Information

Primary practice address
1006 Legacy Ranch Rd 104 Waxahachie TX 75165
Phone: (817) 826-4604
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leek, Dustin Doctor of Medicine (MD)
Phone: (817) 526-4604

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1710551585
LBN Legal business name Eclipse Clinic Pllc
DBA Doing business as
Authorized official Leek, Dustin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2021
Last updated May 17th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710551585 NPPES
Texas Other 15016694 CAQH

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