| |
3630 N Josey Ln Suite 209 Carrollton TX 75007-3199 | |
(214) 234-1608 | |
(972) 692-7990 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 3630 N Josey Ln, Carrollton, Texas |
Authorized Official Name and Position | Anil Joseph (DIRECTOR) |
Authorized Official Contact | 2142341608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1846 E Rosemeade Pkwy Suite 396 Carrollton TX 75007-2637 Ph: (214) 234-1608 | 3630 N Josey Ln Suite 209 Carrollton TX 75007-3199 Ph: (214) 234-1608 |
NPI Number | 1700153509 |
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Provider Enumeration Date | 11/22/2011 |
Last Update Date | 11/22/2011 |
Identifier | Type | State | Issuer |
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1700153509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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