| Mediclinkmd One-p Llc | |
|
415 E Southlake Blvd Suite 100 Southlake TX 76092-6250 | |
| (254) 644-7898 | |
| Not Available |
| Full Name | Mediclinkmd One-p Llc |
|---|---|
| Speciality | General Practice |
| Location | 415 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Arthur Hohenberger (PRESIDENT) |
| Authorized Official Contact | 2546447898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediclinkmd One-p Llc 415 E Southlake Blvd Suite 100 Southlake TX 76092-6250 Ph: () - | Mediclinkmd One-p Llc 415 E Southlake Blvd Suite 100 Southlake TX 76092-6250 Ph: (254) 644-7898 |
| NPI Number | 1982097382 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982097382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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