| |
3121 S Carrier Pkwy Grand Prairie TX 75052-3734 | |
(972) 266-5354 | |
(972) 266-7876 |
Full Name | |
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Speciality | Family Medicine |
Location | 3121 S Carrier Pkwy, Grand Prairie, Texas |
Authorized Official Name and Position | Pamela R. Mccurley (OWNER/OFFICE MGR.) |
Authorized Official Contact | 9722665354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2601 Tandy Ave Fort Worth TX 76103 Ph: (972) 266-5354 | 3121 S Carrier Pkwy Grand Prairie TX 75052-3734 Ph: (972) 266-5354 |
NPI Number | 1245569946 |
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Provider Enumeration Date | 12/09/2009 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
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1245569946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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