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1553 Highway 34 S Suite 300 Terrell TX 75160-4833 | |
(972) 563-1636 | |
(972) 551-6968 |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 1553 Highway 34 S, Terrell, Texas |
Authorized Official Name and Position | Marlon D Padilla (CEO) |
Authorized Official Contact | 9725631636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1553 Highway 34 S Suite 300 Terrell TX 75160-4833 Ph: (972) 563-1636 | 1553 Highway 34 S Suite 300 Terrell TX 75160-4833 Ph: (972) 563-1636 |
NPI Number | 1548409634 |
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Provider Enumeration Date | 02/12/2009 |
Last Update Date | 03/27/2009 |
Identifier | Type | State | Issuer |
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1548409634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | K2254 (Texas) | Primary |
363LF0000X | Nurse Practitioner - Family | 558614 (Texas) | Secondary |
Priti B. Vyas; M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 W Nash St, Terrell, TX 75160 Phone: 972-563-6493 | |
Regional Health Clinic At Terrell Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1553 State Highway 34 S, Ste 100, Terrell, TX 75160 Phone: 972-563-1475 Fax: 972-524-5132 | |