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Proliferativemed Pllc
Multi-Specialty Clinic/Center in Southlake, Texas
NPI 1467082438

Proliferativemed Pllc is a Multi-Specialty Clinic/Center based in Mckinney, TX and is specialized in Multi-Specialty. Proliferativemed Pllc practices in Southlake, TX. The NPI Number for Proliferativemed Pllc is 1467082438 and holds a License No. (Texas).

The current practice location address for Proliferativemed Pllc is 731 E Southlake Blvd Ste 110, Southlake, TX and can be reached out via phone at 817-917-6197.

Location: 731 E Southlake Blvd Ste 110, Southlake, TX, 75069-3848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467082438
Provider Name
Proliferativemed Pllc
Credential
Provider Entity Type
Organization
Address
731 E Southlake Blvd Ste 110, Southlake, TX, 75069-3848
Phone Number
817-917-6197
Fax Number
Provider Enumeration Date
01/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
731 E Southlake Blvd Ste 110
City
Southlake
State
Texas
Zip
76092-6378
Phone Number
817-917-6197
Fax Number
person
Provider Business Mailing Address Details
Address
731 E Southlake Blvd Ste 110
City
Southlake
State
Texas
Zip
76092-6378
Phone Number
817-917-6197
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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