| Mediclink Management Group | |
|
415 E Southlake Blvd Ste 100 Southlake TX 76092-6279 | |
| (817) 506-4132 | |
| Not Available |
| Full Name | Mediclink Management Group |
|---|---|
| Speciality | Family Medicine |
| Location | 415 E Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Arthur L Hohenberger (SOLE MBR) |
| Authorized Official Contact | 8175064132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediclink Management Group 325 Miron Dr Ste 110 Southlake TX 76092-7829 Ph: (817) 506-4132 | Mediclink Management Group 415 E Southlake Blvd Ste 100 Southlake TX 76092-6279 Ph: (817) 506-4132 |
| NPI Number | 1013391184 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013391184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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