| Amd, Md | |
|
207 Lake Rd Belton TX 76513-1511 | |
| (254) 831-3172 | |
| (254) 831-3164 |
| Full Name | Amd, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 207 Lake Rd, Belton, Texas |
| Authorized Official Name and Position | Andrew Dale (OWNER) |
| Authorized Official Contact | 2548313172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amd, Md 207 Lake Rd Belton TX 76513-1511 Ph: (254) 831-3172 | Amd, Md 207 Lake Rd Belton TX 76513-1511 Ph: (254) 831-3172 |
| NPI Number | 1033629811 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 02/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033629811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5882 (Texas) | Primary |
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