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310 North Main Street Suite C-1 Keller TX 76248 | |
| (817) 823-0354 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Mechanotherapist |
| Location | 310 North Main Street, Keller, Texas |
| Authorized Official Name and Position | Sandra Denise Brooks (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Contact | 8179150326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
310 North Main Street Suite C-1 Keller TX 76248 Ph: (817) 823-0354 | 310 North Main Street Suite C-1 Keller TX 76248 Ph: (817) 823-0354 |
| NPI Number | 1992151427 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 05/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992151427 | NPI | - | NPPES |
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