| |
2100 E Randol Mill Road Arlington TX 76011 | |
(817) 261-5166 | |
(817) 275-5432 |
Full Name | |
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Speciality | Clinic/center |
Location | 2100 E Randol Mill Road, Arlington, Texas |
Authorized Official Name and Position | Robert G Hassett (VP) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5080 Spectrum Drive Suite 1200 West Addison TX 75001-4625 Ph: (800) 232-3550 | 2100 E Randol Mill Road Arlington TX 76011 Ph: (817) 261-5166 |
NPI Number | 1073702858 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 04/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073702858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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