| Hotliveleads/mc33 | |
|
1805 S Great Southwest Pkwy 200 Grand Prairie TX 75051-3502 | |
| (469) 251-0664 | |
| (800) 267-5802 |
| Full Name | Hotliveleads/mc33 |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1805 S Great Southwest Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Larry Duncan (PRESIDENT) |
| Authorized Official Contact | 4692510664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hotliveleads/mc33 1805 S Great Southwest Pkwy Grand Prairie TX 75051-3502 Ph: (469) 251-0664 | Hotliveleads/mc33 1805 S Great Southwest Pkwy 200 Grand Prairie TX 75051-3502 Ph: (469) 251-0664 |
| NPI Number | 1770931149 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770931149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 261QM1300X (Texas) | Primary |
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