| Meno Group, Pllc | |
|
1806 Broadway Blvd Kilgore TX 75662-3520 | |
| (903) 984-1108 | |
| (903) 984-1107 |
| Full Name | Meno Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1806 Broadway Blvd, Kilgore, Texas |
| Authorized Official Name and Position | Angelina Moody-parker (MANAGER) |
| Authorized Official Contact | 9039841108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meno Group, Pllc 1806 Broadway Blvd Kilgore TX 75662-3520 Ph: (903) 984-1108 | Meno Group, Pllc 1806 Broadway Blvd Kilgore TX 75662-3520 Ph: (903) 984-1108 |
| NPI Number | 1003267212 |
|---|---|
| Provider Enumeration Date | 06/29/2016 |
| Last Update Date | 06/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003267212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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