| Pmp - Northlake Pllc | |
|
1500 Commons Cir Ste 100 Northlake TX 76226-2717 | |
| (469) 307-5093 | |
| Not Available |
| Full Name | Pmp - Northlake Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1500 Commons Cir Ste 100, Northlake, Texas |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmp - Northlake Pllc 1500 Commons Cir Ste 100 Northlake TX 76226-2717 Ph: (469) 307-5093 | Pmp - Northlake Pllc 1500 Commons Cir Ste 100 Northlake TX 76226-2717 Ph: (469) 307-5093 |
| NPI Number | 1427913227 |
|---|---|
| Provider Enumeration Date | 12/23/2025 |
| Last Update Date | 12/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427913227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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