| |
571 W Main St Ste 100, Lewisville, TX 75057-3667 | |
(972) 436-9785 | |
(972) 436-6068 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 571 W Main St Ste 100, Lewisville, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437461944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 11489 (Texas) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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571 W Main St Ste 100, Lewisville, TX 75057-3667 Ph: (972) 436-9785 | 571 W Main St Ste 100, Lewisville, TX 75057-3667 Ph: (972) 436-9785 |