| Multi Specialty Clinic In Tarrant County | |
|
470 East State Hwy 114 Southlake TX 76092-7625 | |
| (214) 645-0624 | |
| (214) 645-0624 |
| Full Name | Multi Specialty Clinic In Tarrant County |
|---|---|
| Speciality | Pediatrics |
| Location | 470 East State Hwy 114, Southlake, Texas |
| Authorized Official Name and Position | Bruce A. Meyer (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2146450624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multi Specialty Clinic In Tarrant County Po Box 845347 Dallas TX 75284-7208 Ph: (214) 645-0624 | Multi Specialty Clinic In Tarrant County 470 East State Hwy 114 Southlake TX 76092-7625 Ph: (214) 645-0624 |
| NPI Number | 1275838732 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275838732 | NPI | - | NPPES |
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