Wisdom Healthcare Clinic N Healthcare Services Inc

NPI 1013176114 - Family Medicine - 207Q00000X

NPI Details
NPI 1013176114
Enumeration Date 06/03/2008
Last Updated 01/16/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position DIRECTOR
Phone (817) 200-6189
Fax (469) 464-4398
Practice Location
403 W MAIN ST
SUITE B
LEWISVILLE TX, 75057-3757, US
Phone (817) 200-6189
Fax (469) 464-4398
Business Location
403 W MAIN ST
SUITE B
LEWISVILLE TX, 75057-3757, US
Phone (817) 200-6189
Fax (469) 464-4398
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number PA04564
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According to our database, Wisdom Healthcare Clinic N Healthcare Services Inc NPI is 1013176114, taxonomy code is 207Q00000X and license number is PA04564, license state is located at Texas. Wisdom Healthcare Clinic N Healthcare Services Inc physically located at 403 W Main St, Lewisville TX, 75057-3757. NPI Number 1033115704 has the healthcare provider type.

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1013176114 NPI number is provided on an as is basis without warranty of any kind. 1013176114 is maintained by the National Plan & Provider Enumeration System. The contents of Wisdom Healthcare Clinic N Healthcare Services Inc are for informational purposes only.