Multi Specialty Group Of North Texas Pllc | |
4927 Lake Ridge Pkwy Ste 148 Grand Prairie TX 75052-3087 | |
(313) 505-2932 | |
Not Available |
Full Name | Multi Specialty Group Of North Texas Pllc |
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Speciality | General Practice |
Location | 4927 Lake Ridge Pkwy Ste 148, Grand Prairie, Texas |
Authorized Official Name and Position | Chaitanya Chavda (MANAGER) |
Authorized Official Contact | 3135052932 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Multi Specialty Group Of North Texas Pllc 4927 Lake Ridge Pkwy Ste 148 Grand Prairie TX 75052-3087 Ph: (313) 505-2932 | Multi Specialty Group Of North Texas Pllc 4927 Lake Ridge Pkwy Ste 148 Grand Prairie TX 75052-3087 Ph: (313) 505-2932 |
NPI Number | 1770217960 |
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Provider Enumeration Date | 07/13/2022 |
Last Update Date | 07/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770217960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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