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Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
4601 MEDICAL CENTER DR, MCKINNEY, TX 75069-1771
(972) 562-9222
(972) 562-9211
Mailing address
PO BOX 650268, DALLAS, TX 75265-0268
(888) 238-9671
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
R31452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384001
—
TX
Enumeration date
01/16/2008
Last updated
04/27/2010
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