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Organization
MERIDIAN HEALTH PARTNERS PLLC
Active
Organization
MERIDIAN HEALTH PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY GOODWIN (AUTHORIZED OFFICIAL)
(214) 564-2510
Entity
Organization
Contact information
Practice address
14550 W STATE HIGHWAY 29, LIBERTY HILL, TX 78642-5792
(512) 515-0065
Mailing address
PO BOX 679676, DALLAS, TX 75267-9676
(512) 515-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
03/12/2024
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