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3301 Matlock Rd Arlington TX 76015-2908 | |
(817) 465-3241 | |
(817) 472-4878 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3301 Matlock Rd, Arlington, Texas |
Authorized Official Name and Position | Jeff Ardemagni (CFO) |
Authorized Official Contact | 8174724909 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3301 Matlock Rd Arlington TX 76015-2908 Ph: (817) 472-4909 | 3301 Matlock Rd Arlington TX 76015-2908 Ph: (817) 465-3241 |
NPI Number | 1114107604 |
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Provider Enumeration Date | 11/13/2007 |
Last Update Date | 11/15/2016 |
Identifier | Type | State | Issuer |
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1114107604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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