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3044 Old Denton Rd Ste 115 Carrollton TX 75007-5074 | |
(972) 245-2876 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3044 Old Denton Rd Ste 115, Carrollton, Texas |
Authorized Official Name and Position | Simon Lim (CEO) |
Authorized Official Contact | 2143926700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3044 Old Denton Rd Ste 115 Carrollton TX 75007-5074 Ph: (972) 245-2876 | 3044 Old Denton Rd Ste 115 Carrollton TX 75007-5074 Ph: (972) 245-2876 |
NPI Number | 1417311382 |
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Provider Enumeration Date | 04/07/2016 |
Last Update Date | 04/07/2016 |
Identifier | Type | State | Issuer |
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1417311382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | L2988 (Texas) | Primary |
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