Ntx Id & Wound Care Mht Llc | |
1575 Heritage Dr Suite 205 Mckinney TX 75069-3288 | |
(469) 307-5810 | |
Not Available |
Full Name | Ntx Id & Wound Care Mht Llc |
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Speciality | Family Medicine |
Location | 1575 Heritage Dr, Mckinney, Texas |
Authorized Official Name and Position | Emily Jordan (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 4693075810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ntx Id & Wound Care Mht Llc 1575 Heritage Dr Suite 205 Mckinney TX 75069-3288 Ph: (469) 307-5810 | Ntx Id & Wound Care Mht Llc 1575 Heritage Dr Suite 205 Mckinney TX 75069-3288 Ph: (469) 307-5810 |
NPI Number | 1518320506 |
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Provider Enumeration Date | 03/29/2016 |
Last Update Date | 03/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518320506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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