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1640 Dallas Pkwy Plano TX 75093-4515 | |
| (972) 863-4940 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1640 Dallas Pkwy, Plano, Texas |
| Authorized Official Name and Position | Michael Slice (VICE PRESIDENT) |
| Authorized Official Contact | 6023712971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11001 N Black Canyon Hwy Phoenix AZ 85029-4757 Ph: (877) 733-1710 | 1640 Dallas Pkwy Plano TX 75093-4515 Ph: (972) 863-4940 |
| NPI Number | 1104150721 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104150721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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