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Organization
INGRIM MHT LLC
Active
Organization
INGRIM MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SMITH (MANAGER OF REGULATORY COMPLIANCE)
(972) 616-4702
Entity
Organization
Contact information
Practice address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7239
TX
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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