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Organization
INDUSTRIAL MED MANAGEMENT OF HALTOM CITY, LLC
Active
Organization
INDUSTRIAL MED MANAGEMENT OF HALTOM CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLA GREGG (CREDENTIALING COORDINATOR)
(972) 991-9950
Entity
Organization
Contact information
Practice address
3145 DENTON HWY, HALTOM CITY, TX 76117-3710
(817) 831-0999
(817) 831-2228
Mailing address
PO BOX 2486, ADDISON, TX 75001-2486
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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