| Direct Primed Care Pllc | |
|
180 State St Ste 225 Southlake TX 76092-7632 | |
| (817) 497-8328 | |
| (817) 837-0832 |
| Full Name | Direct Primed Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 180 State St Ste 225, Southlake, Texas |
| Authorized Official Name and Position | Abdier Delgado Gonzalez (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5023807831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Primed Care Pllc 180 State St Ste 225 Southlake TX 76092-7632 Ph: (817) 497-8328 | Direct Primed Care Pllc 180 State St Ste 225 Southlake TX 76092-7632 Ph: (817) 497-8328 |
| NPI Number | 1770151128 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770151128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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