| Ebie Community Medical Pllc | |
|
1670 N Hampton Rd Suite 103 Desoto TX 75115-8302 | |
| (972) 224-3434 | |
| (972) 224-3442 |
| Full Name | Ebie Community Medical Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1670 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Velesa Priscilla Jones (ADMINISTRATOR) |
| Authorized Official Contact | 9722243434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebie Community Medical Pllc 1670 N Hampton Rd Suite 103 Desoto TX 75115-8302 Ph: (972) 224-3434 | Ebie Community Medical Pllc 1670 N Hampton Rd Suite 103 Desoto TX 75115-8302 Ph: (972) 224-3434 |
| NPI Number | 1194858977 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194858977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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