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2801 N. I35e, Suite 110 Carrollton TX 75007 | |
(469) 568-2500 | |
(469) 568-2307 |
Full Name | |
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Speciality | Clinic/center |
Location | 2801 N. I35e, Suite 110, Carrollton, Texas |
Authorized Official Name and Position | Margarita M Miller (OWNER) |
Authorized Official Contact | 4695682500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2801 N. I35e, Suite 110 Carrollton TX 75007 Ph: (469) 568-2500 | 2801 N. I35e, Suite 110 Carrollton TX 75007 Ph: (469) 568-2500 |
NPI Number | 1699896977 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1699896977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | K7584 (Texas) | Primary |
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