| Deuteronomy | |
|
8210 Walnut Hill Ln Suite 230 Dallas TX 75231-4405 | |
| (972) 792-5700 | |
| Not Available |
| Full Name | Deuteronomy |
|---|---|
| Speciality | General Practice |
| Location | 8210 Walnut Hill Ln, Dallas, Texas |
| Authorized Official Name and Position | Debi Glick (VP ADMIN) |
| Authorized Official Contact | 9727925700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deuteronomy Po Box 910042 Dallas TX 75391-0042 Ph: (972) 792-5700 | Deuteronomy 8210 Walnut Hill Ln Suite 230 Dallas TX 75231-4405 Ph: (972) 792-5700 |
| NPI Number | 1245251354 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245251354 | NPI | - | NPPES |
| 1198368-02 | Medicaid | TX | |
| 0018BV | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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