| Idmdtx | |
|
3412 Chapelwood Ct Colleyville TX 76034-8721 | |
| (813) 943-2570 | |
| Not Available |
| Full Name | Idmdtx |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3412 Chapelwood Ct, Colleyville, Texas |
| Authorized Official Name and Position | Miloni Shroff (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8139432570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idmdtx 4843 Colleyville Blvd # 251-103 Colleyville TX 76034-3923 Ph: () - | Idmdtx 3412 Chapelwood Ct Colleyville TX 76034-8721 Ph: (813) 943-2570 |
| NPI Number | 1649093832 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649093832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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