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Organization
ADAM S. MINER, MD, PA
Active
Organization
ADAM S. MINER, MD, PA
Active
Other names
Promenade Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM S MINER MD (PHYSICIAN/OWNER)
(972) 234-6868
Entity
Organization
Contact information
Practice address
1120 W CAMPBELL RD, SUITE 111, RICHARDSON, TX 75080-2976
(972) 234-6868
(972) 238-1235
Mailing address
PO BOX 796534, DALLAS, TX 75379-6534
(972) 234-6868
(972) 238-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J2689
TX
261Q00000X
Clinic/Center
J2689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080185401
—
TX
Enumeration date
01/16/2008
Last updated
05/15/2009
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