| Imd Healthcare Association, Inc. | |
|
5857 Tory Dr Grand Prairie TX 75052-8500 | |
| (817) 522-2296 | |
| Not Available |
| Full Name | Imd Healthcare Association, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5857 Tory Dr, Grand Prairie, Texas |
| Authorized Official Name and Position | Chi Vi Le Chau (OFFICER) |
| Authorized Official Contact | 8175222296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imd Healthcare Association, Inc. 1125 Executive Cir Ste 200 Irving TX 75038-2522 Ph: (817) 522-2296 | Imd Healthcare Association, Inc. 5857 Tory Dr Grand Prairie TX 75052-8500 Ph: (817) 522-2296 |
| NPI Number | 1427673375 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427673375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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