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Organization
MEDSTREAM WELLNESS MEDICAL GROUP
Active
Organization
MEDSTREAM WELLNESS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI B DAVIS M.D. (MEDICAL DOCTOR)
(469) 619-3080
Entity
Organization
Contact information
Practice address
1505 HARROUN AVE, STE C, MCKINNEY, TX 75069-3432
(469) 619-3080
(469) 252-3509
Mailing address
1505 HARROUN AVE STE C, MCKINNEY, TX 75069-3433
(469) 952-6400
(469) 952-6410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
01/03/2011
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