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955 Lowes Ln Mt Vernon TX 75457-9601 | |
(903) 537-7500 | |
(903) 537-7584 |
Full Name | |
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Speciality | Clinic/center |
Location | 955 Lowes Ln, Mt Vernon, Texas |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 955 Lowes Ln Mt Vernon TX 75457-9601 Ph: (903) 537-7500 |
NPI Number | 1558777854 |
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Provider Enumeration Date | 07/08/2014 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1558777854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |