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Organization
MEDPROFESSIONAL CONSULT LLC
Active
Organization
MEDPROFESSIONAL CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANA TAWADROUS DO (DO/OWNER)
(414) 793-5659
Entity
Organization
Contact information
Practice address
5242 MEDICAL DR, ROCKWALL, TX 75032-5001
(972) 772-8700
Mailing address
1411 RIVERSIDE OAKS DR, ROCKWALL, TX 75087-2425
(414) 793-5659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
01/17/2020
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