| |
3030 Matlock Rd Suite 205 Arlington TX 75243 | |
(817) 375-0610 | |
(817) 375-0640 |
Full Name | |
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Speciality | Internal Medicine - Nephrology |
Location | 3030 Matlock Rd, Arlington, Texas |
Authorized Official Name and Position | Anthony Efthim Gabriel (OWNER PRESIDENT SECRETARY TREASURER) |
Authorized Official Contact | 8003104872 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box File #57025 Los Angeles CA 90074-0001 Ph: (800) 310-4872 | 3030 Matlock Rd Suite 205 Arlington TX 75243 Ph: (817) 375-0610 |
NPI Number | 1134189574 |
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Provider Enumeration Date | 03/27/2006 |
Last Update Date | 05/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134189574 | NPI | - | NPPES |
177068701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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