Minor Emergency & Diagnostic Care
Preferred Provider Organization in Richardson, TX. Organization (NPI-2).
NPI number1760618706
StatusActive
Last updated in NPPESJun 4, 2009
Details
- NPI
- 1760618706
- Entity type
- Organization (NPI-2)
- Legal business name
- Minor Emergency & Diagnostic Care
- Organization subpart
- No
- Enumeration date
- Jun 4, 2009
- Last updated
- Jun 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | H3144 | TX | Yes |
| 305R00000X | Preferred Provider Organization | J3937 | TX |
Practice location
1920 N Collins BlvdRichardson, TX 75080-3525
Phone 972-498-4503
Mailing address
1920 N Collins BlvdRichardson, TX 75080-3525
Phone 972-498-4503
Authorized official
Eduardo Mario Wilkinson
Partner
9724984503
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All 5 Preferred Provider Organization providers in Richardson · All 4,324 providers in Richardson
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