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7023 Morning Star Dr Grand Prairie TX 75054-7241 | |
| (718) 207-0266 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 7023 Morning Star Dr, Grand Prairie, Texas |
| Authorized Official Name and Position | Kehinde Kulugh (NURSE PRACTITIONER) |
| Authorized Official Contact | 7182070266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7023 Morning Star Dr Grand Prairie TX 75054-7241 Ph: (718) 207-0266 | 7023 Morning Star Dr Grand Prairie TX 75054-7241 Ph: (718) 207-0266 |
| NPI Number | 1770239907 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770239907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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