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1680 Keller Pkwy Keller TX 76248-3702 | |
| (682) 323-6312 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1680 Keller Pkwy, Keller, Texas |
| Authorized Official Name and Position | Paul Dobson Tracy (OWNER) |
| Authorized Official Contact | 6823236312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1680 Keller Pkwy Keller TX 76248-3702 Ph: (682) 323-6312 | 1680 Keller Pkwy Keller TX 76248-3702 Ph: (682) 323-6312 |
| NPI Number | 1760198857 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760198857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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