Organization · Type 2 NPI

Mirae Clinic

Clinic/Center · Dallas, TX

NPI number 1164668588 Active

Practice location

2035 Royal Ln Ste 280
Dallas, TX 75229-3268

Fax (877) 643-4072

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X8306 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1164668588

Mirae Clinic's National Provider Identifier is 1164668588, issued on Jan 7, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 7, 2009.