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NPI Code Detail

MEDICARE: DEDICATED PHYSICIANS GROUP OF TEXAS PLLC

MEDICARE: DEDICATED PHYSICIANS GROUP OF TEXAS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site

General Provider Information

NPI Number : 1467120816
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEDICATED PHYSICIANS GROUP OF TEXAS PLLC
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-628-6117
Fax Number :
Provider Business Practice Location Address
First Line : 7333 NORTH FWY STE 430
Second Line :
City : HOUSTON
State : TX
Zip : 77076-1301
Country : US
Telephone Number : 832-482-1200
Fax Number :
Authorized Official
Title or Position : EXECUTIVE OFFICER
Name : MARY CHEN
Credential :
Telephone Number : 305-628-6117
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “DEDICATED PHYSICIANS GROUP OF TEXAS PLLC ” Practice Location

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