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Organization
ACCUCARE FAMILY MEDICAL CENTER P.A.
Active
Organization
ACCUCARE FAMILY MEDICAL CENTER P.A.
Active
Other names
North Texas Professional Wound Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE A THERIOT MD (PRESIDENT)
(972) 816-0459
Entity
Organization
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(972) 816-0459
Mailing address
709 WEST RUSK STREET, SUITE B, #867, ROCKWALL, TX 75087
(972) 786-0140
(972) 786-0142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J9578
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
J9578
TX
Other
Enumeration date
06/12/2006
Last updated
07/13/2023
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