Organization · Type 2 NPI
Mediclinkmd One-P LLC
General Practice Physician · Southlake, TX
NPI number
1982097382
Active
Practice location
415 E Southlake Blvd, Suite 100
Southlake, TX 76092-6250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Southlake
About NPI 1982097382
Mediclinkmd One-P LLC's National Provider Identifier is 1982097382, issued on Mar 9, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Southlake, TX. The record was last updated on Mar 9, 2015.