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802 Hopkins St Fl 2 Garland TX 75040-7379 | |
| (214) 266-0004 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 802 Hopkins St Fl 2, Garland, Texas |
| Authorized Official Name and Position | Frederick P. Cerise (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2145908006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 660599 Dallas TX 75266-0599 Ph: () - | 802 Hopkins St Fl 2 Garland TX 75040-7379 Ph: (214) 266-0004 |
| NPI Number | 1396144432 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396144432 | NPI | - | NPPES |
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