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151 Ridge Point Pkwy Ste 100 Keller TX 76248-8801 | |
(817) 945-3949 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 151 Ridge Point Pkwy Ste 100, Keller, Texas |
Authorized Official Name and Position | Rachael Mccracken (MANAGING MEMBER) |
Authorized Official Contact | 8179453949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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151 Ridge Point Pkwy Ste 100 Keller TX 76248-8801 Ph: () - | 151 Ridge Point Pkwy Ste 100 Keller TX 76248-8801 Ph: (817) 945-3949 |
NPI Number | 1669993135 |
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Provider Enumeration Date | 07/05/2017 |
Last Update Date | 07/05/2017 |
Identifier | Type | State | Issuer |
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1669993135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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