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Organization
MEDICAL CLINIC OF NORTH TEXAS PLLC
Active
Organization
MEDICAL CLINIC OF NORTH TEXAS PLLC
Active
Other names
USMD Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C JOHNSTON MD (CEO/CPO)
(214) 493-4015
Entity
Organization
Contact information
Practice address
5450 CLEARFORK MAIN STREET, SUITE 410, FORT WORTH, TX 76019-3559
(817) 505-0233
(817) 332-3172
Mailing address
2801 GATEWAY DRIVE, SUITE 100, IRVING, TX 75063-2694
(972) 847-0792
(817) 419-4605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/22/2009
Last updated
10/05/2018
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