One Main Medical Centre | |
1201 Main St Suite P350 Dallas TX 75202-3908 | |
(469) 621-6662 | |
Not Available |
Full Name | One Main Medical Centre |
---|---|
Speciality | Family Medicine |
Location | 1201 Main St, Dallas, Texas |
Authorized Official Name and Position | Manuel Griego (CEO/PRESIDENT) |
Authorized Official Contact | 2145807277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
One Main Medical Centre 1412 Main St Suite 905 Dallas TX 75202-4014 Ph: (214) 580-7277 | One Main Medical Centre 1201 Main St Suite P350 Dallas TX 75202-3908 Ph: (469) 621-6662 |
NPI Number | 1235338401 |
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Provider Enumeration Date | 07/17/2007 |
Last Update Date | 07/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235338401 | NPI | - | NPPES |
P000HL68 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F1604 (Texas) | Primary |
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