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1422 W Main St Ste 100 Lewisville TX 75067 | |
| (469) 578-8240 | |
| (888) 251-0639 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 1422 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Raul Lemus (CEO) |
| Authorized Official Contact | 9568218483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 112506 Carrollton TX 75011 Ph: (469) 578-8240 | 1422 W Main St Ste 100 Lewisville TX 75067 Ph: (469) 578-8240 |
| NPI Number | 1407564909 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 06/03/2024 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407564909 | NPI | - | NPPES |
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