Organization · NPI-2

Heritage Medical & Wellness Center Dallas LLC

Internal Medicine · Cedar Hill, TX

NPI number1518101211
StatusActive
Last updated in NPPESApr 24, 2009

Details

NPI
1518101211
Entity type
Organization (NPI-2)
Legal business name
Heritage Medical & Wellness Center Dallas LLC
Organization subpart
No
Enumeration date
Apr 24, 2009
Last updated
Apr 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineL0008TXYes

Other names

  • Heritage Inter-Med, PLLC (Former Legal Business Name)

Practice location

200 Bryan Pl
Cedar Hill, TX 75104-1768

Phone 972-299-0003 · Fax 972-299-0004

Mailing address

200 Bryan Pl
Cedar Hill, TX 75104

Phone 975-299-0003 · Fax 972-299-0004

Authorized official

Cecil C Bailey
Owner
9722990003

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