South Loop 12 Medical Clinic Llc is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. South Loop 12 Medical Clinic Llc practices in Dallas, TX. The NPI Number for South Loop 12 Medical Clinic Llc is 1417034745 and holds a License No. 528675 (Texas).
The current practice location address for South Loop 12 Medical Clinic Llc is 3232 Great Trinity Forest Way, Dallas, TX and can be reached out via phone at 214-398-4157 and via fax at 214-398-4326.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018919303 | 05 | TX | |
| 5608640 | 01 | TX | FIRST HEALTH PROVIDER ID |
| 7438197 | 01 | TX | AETNA PROVIDER ID# |
| 8N8001 | 01 | TX | BCBC PROVIDER ID# |
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