| Biotelligent | |
|
731 E Southlake Blvd Ste 110 Southlake TX 76092-6378 | |
| (817) 917-6197 | |
| Not Available |
| Full Name | Biotelligent |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 731 E Southlake Blvd Ste 110, Southlake, Texas |
| Authorized Official Name and Position | Steven B. Sanders (OWNER) |
| Authorized Official Contact | 9728393777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Biotelligent 615 W Lamar St Mckinney TX 75069-3848 Ph: (817) 917-6197 | Biotelligent 731 E Southlake Blvd Ste 110 Southlake TX 76092-6378 Ph: (817) 917-6197 |
| NPI Number | 1467082438 |
|---|---|
| Provider Enumeration Date | 01/18/2020 |
| Last Update Date | 01/18/2020 |
| Certification Date | 01/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467082438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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