# DEDICATED PHYSICIANS GROUP OF TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEDICATED PHYSICIANS GROUP OF TEXAS PLLC
- **Other names:** Dedicated Senior Medical Center West Corum
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114514296
- **Legal business name:** DEDICATED PHYSICIANS GROUP OF TEXAS PLLC
- **Authorized official:** MARY CHEN (EXECUTIVE OFFICER)
- **Authorized official phone:** (305) 628-6117

## Contact information

- **Practice address:** 8121 BROADWAY ST, HOUSTON, TX 77061-1340
- **Practice address phone:** (305) 628-6117
- **Mailing address:** 1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2020
- **Last updated:** 12/23/2020