Organization · Type 2 NPI

Proliferativemed PLLC

Multi-Specialty Clinic/Center · Southlake, TX

NPI number 1467082438 Active

Practice location

731 E Southlake Blvd Ste 110
Southlake, TX 76092-6378

Call (817) 917-6197 Map

Mailing address

615 W Lamar St
Mckinney, TX 75069-3848

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1467082438

Proliferativemed PLLC's National Provider Identifier is 1467082438, issued on Jan 18, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Southlake, TX. The record was last updated on Jan 18, 2020.