| Main Street Medical Care | |
|
571 W Main St Suite 120 Lewisville TX 75057-3628 | |
| (972) 221-3500 | |
| (972) 221-3522 |
| Full Name | Main Street Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 571 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | David William Zahaluk (MANAGING MEMBER) |
| Authorized Official Contact | 2145421271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical Care 571 W Main St Suite 120 Lewisville TX 75057-3628 Ph: (972) 221-3500 | Main Street Medical Care 571 W Main St Suite 120 Lewisville TX 75057-3628 Ph: (972) 221-3500 |
| NPI Number | 1053562264 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053562264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J9851 (Texas) | Primary |
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