| Modoma Medmassage, Llc | |
|
4944 Preston Rd Ste 100a Frisco TX 75034-8597 | |
| (469) 213-2762 | |
| Not Available |
| Full Name | Modoma Medmassage, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4944 Preston Rd, Frisco, Texas |
| Authorized Official Name and Position | Dakota Black Hawke (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 4692132762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modoma Medmassage, Llc 4944 Preston Rd Ste 100a Frisco TX 75034-8597 Ph: (469) 213-2762 | Modoma Medmassage, Llc 4944 Preston Rd Ste 100a Frisco TX 75034-8597 Ph: (469) 213-2762 |
| NPI Number | 1508293382 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508293382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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