| |
9555 Lebanon Rd Ste 1003 Frisco TX 75035-6088 | |
(214) 872-1232 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 9555 Lebanon Rd Ste 1003, Frisco, Texas |
Authorized Official Name and Position | Oyetokunbo Lemoru (OWNER) |
Authorized Official Contact | 2148721232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9555 Lebanon Rd Ste 1003 Frisco TX 75035-6088 Ph: (214) 872-1232 | 9555 Lebanon Rd Ste 1003 Frisco TX 75035-6088 Ph: (214) 872-1232 |
NPI Number | 1447827324 |
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Provider Enumeration Date | 06/08/2021 |
Last Update Date | 11/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447827324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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