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Organization
PREMIUM CHOICE HEALTH CARE, P.A.
Active
Organization
PREMIUM CHOICE HEALTH CARE, P.A.
Active
Other names
Easy Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GREG MAUL D.O. (PRESIDENT)
(214) 501-1410
Entity
Organization
Contact information
Practice address
5700 ROWLETT RD, SUITE 140, ROWLETT, TX 75089-7922
(214) 501-1410
(214) 501-1411
Mailing address
3140 BOURBON STREET CIR, ROCKWALL, TX 75032-5415
(214) 577-3876
(214) 501-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9798
TX
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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