Organization Name: | RLKS HOLDINGS INC |
NPI Number: | 1700246675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY E GALAN (OWNER) |
Mailing Address: | 16211 Baxter Rd Chesterfield |
State: | MO US |
Postal Code: | 630174777 |
Phone Number: | 6365369679 |
Fax Number: | 6365369697 |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |