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5349 Sonoma Drive Keller TX 76248-9105 | |
| (817) 741-7474 | |
| (817) 741-7482 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 5349 Sonoma Drive, Keller, Texas |
| Authorized Official Name and Position | Sherry Denise Crow (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 8177417474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9500 Ray White Road Suite 200 Keller TX 76248-9105 Ph: (817) 741-7474 | 5349 Sonoma Drive Keller TX 76248-9105 Ph: (817) 741-7474 |
| NPI Number | 1093990715 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093990715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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