Modoma | |
897 N Macarthur Blvd Suite 110 Coppell TX 75019-2705 | |
(469) 304-3443 | |
(469) 304-3443 |
Full Name | Modoma |
---|---|
Speciality | Family Medicine |
Location | 897 N Macarthur Blvd, Coppell, Texas |
Authorized Official Name and Position | Grady Murphy (OWNER) |
Authorized Official Contact | 4693043443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modoma 4944 Preston Rd Suite 100a Frisco TX 75034-8597 Ph: (469) 304-3443 | Modoma 897 N Macarthur Blvd Suite 110 Coppell TX 75019-2705 Ph: (469) 304-3443 |
NPI Number | 1003356759 |
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Provider Enumeration Date | 02/28/2017 |
Last Update Date | 02/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003356759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G3628 (* (Not Available)) | Primary |
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