| Beulah Medical Clinic | |
|
1534-a N Hampton Road Suite 100 Desoto TX 75115-0073 | |
| (469) 585-8129 | |
| Not Available |
| Full Name | Beulah Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1534-a N Hampton Road, Desoto, Texas |
| Authorized Official Name and Position | Patrick Moneke (ADMINISTRATOR) |
| Authorized Official Contact | 8173660950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beulah Medical Clinic 1534a N Hampton Rd Desoto TX 75115-2302 Ph: () - | Beulah Medical Clinic 1534-a N Hampton Road Suite 100 Desoto TX 75115-0073 Ph: (469) 585-8129 |
| NPI Number | 1750144150 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750144150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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