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Organization
HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP
Active
Organization
HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP
Active
Other names
Executive Medicine of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GAMAN MD (PHYSICIAN/PARTNER)
(817) 307-9312
Entity
Organization
Contact information
Practice address
2106 E STATE HIGHWAY 114, STE 300, SOUTHLAKE, TX 76092
(817) 552-4300
Mailing address
2106 E STATE HIGHWAY 114, STE 300, SOUTHLAKE, TX 76092
(817) 552-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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