| Heritage Medical & Wellness Center Dallas Llc | |
|
200 Bryan Pl Cedar Hill TX 75104-1768 | |
| (972) 299-0003 | |
| (972) 299-0004 |
| Full Name | Heritage Medical & Wellness Center Dallas Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Bryan Pl, Cedar Hill, Texas |
| Authorized Official Name and Position | Cecil C Bailey (OWNER) |
| Authorized Official Contact | 9722990003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical & Wellness Center Dallas Llc 200 Bryan Pl Cedar Hill TX 75104 Ph: (975) 299-0003 | Heritage Medical & Wellness Center Dallas Llc 200 Bryan Pl Cedar Hill TX 75104-1768 Ph: (972) 299-0003 |
| NPI Number | 1518101211 |
|---|---|
| Provider Enumeration Date | 04/24/2009 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518101211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L0008 (Texas) | Primary |
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