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4343 N Josey Ln Carrollton TX 75010-4603 | |
(972) 492-1010 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 4343 N Josey Ln, Carrollton, Texas |
Authorized Official Name and Position | Douglas E. Rabe (VP OF TAXATION, TENET HEALTHCARE) |
Authorized Official Contact | 4698932530 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 849992 Dallas TX 75284-9992 Ph: (214) 387-6444 | 4343 N Josey Ln Carrollton TX 75010-4603 Ph: (972) 492-1010 |
NPI Number | 1568481489 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1568481489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 000042 (Texas) | Primary |
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