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Organization
ALLIED PHYSICAL MEDICINE, PA
Active
Organization
ALLIED PHYSICAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R WILSON II D.C. (OFFICE MANAGER)
(214) 547-7234
Entity
Organization
Contact information
Practice address
1930 RAWHIDE DR STE 308, ROUND ROCK, TX 78681-6954
(214) 547-7234
(214) 547-7236
Mailing address
309 S JUPITER RD STE 100, ALLEN, TX 75002-3052
(214) 547-7234
(214) 547-7236
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
07/21/2022
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