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3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 | |
(972) 313-5017 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3648 Old Denton Rd Ste 110c, Carrollton, Texas |
Authorized Official Name and Position | Sheeba Mathai (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9723135017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 Ph: (972) 313-5017 | 3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 Ph: (972) 313-5017 |
NPI Number | 1477241560 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 01/06/2025 |
Identifier | Type | State | Issuer |
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1477241560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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