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Modern Medical House Calls Pllc
General Practice Physician in Southlake, Texas
NPI 1043635931

Modern Medical House Calls Pllc is a General Practice Physician based in Southlake, TX. Modern Medical House Calls Pllc practices in Southlake, TX. The NPI Number for Modern Medical House Calls Pllc is 1043635931 and holds a License No. (Texas).

The current practice location address for Modern Medical House Calls Pllc is 855 Davis Blvd Ste 500, Southlake, TX and can be reached out via phone at 817-912-1771 and via fax at 940-241-6156.

Location: 855 Davis Blvd Ste 500, Southlake, TX, 76092-8218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043635931
Provider Name
Modern Medical House Calls Pllc
Credential
Provider Entity Type
Organization
Address
855 Davis Blvd Ste 500, Southlake, TX, 76092-8218
Phone Number
817-912-1771
Fax Number
940-241-6156
Provider Enumeration Date
02/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
855 Davis Blvd Ste 500
City
Southlake
State
Texas
Zip
76092-8218
Phone Number
817-912-1771
Fax Number
940-241-6156
person
Provider Business Mailing Address Details
Address
855 Davis Blvd Ste 500
City
Southlake
State
Texas
Zip
76092-8218
Phone Number
817-912-1771
Fax Number
940-241-6156
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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