Aco Medical, PLLC
Clinic/Center in Grand Prairie, TX. Organization (NPI-2).
NPI number1497123913
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1497123913
- Entity type
- Organization (NPI-2)
- Legal business name
- Aco Medical, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2015
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2705 Hospital BlvdSuite 102
Grand Prairie, TX 75051-0928
Phone 972-314-9906 · Fax 972-314-9993
Mailing address
Po Box 794126Dallas, TX 75379-4126
Phone 972-314-9906 · Fax 972-314-9993
Authorized official
John Bradley Rieger
Director Of Clinic Operations
8065438294
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