| Medstream Wellness Medical Group | |
|
1505 Harroun Ave Ste C Mckinney TX 75069-3433 | |
| (469) 952-6400 | |
| (469) 952-6410 |
| Full Name | Medstream Wellness Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1505 Harroun Ave Ste C, Mckinney, Texas |
| Authorized Official Name and Position | Vicki Blackmon Davis (OWMER) |
| Authorized Official Contact | 4699526400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstream Wellness Medical Group 1505 Harroun Ave Ste C Mckinney TX 75069-3433 Ph: (469) 952-6400 | Medstream Wellness Medical Group 1505 Harroun Ave Ste C Mckinney TX 75069-3433 Ph: (469) 952-6400 |
| NPI Number | 1023310067 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 11/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023310067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
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