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Organization
MYCOMMUNITYCENTER
Active
Organization
MYCOMMUNITYCENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAH D GONZALES (EXECUTIVE DIRECTOR)
(817) 616-3413
Entity
Organization
Contact information
Practice address
7100 BOULEVARD 26 STE 106, RICHLAND HILLS, TX 76180-8687
(817) 616-3413
(817) 616-3388
Mailing address
ATTN.: MOHAMMED PARACHA, 2808 BROOKSHIRE DRIVE, SOUTHLAKE, TX 76092
(817) 616-3413
(817) 616-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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