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Organization
I-35 CAPITAL PHYSICIANS GROUP, INC
Active
Organization
I-35 CAPITAL PHYSICIANS GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MATA (VP OF OPERATIONS)
(469) 556-7186
Entity
Organization
Contact information
Practice address
220 N RIDGEWAY DR, CLEBURNE, TX 76033-4115
(817) 556-4800
Mailing address
550 BAILEY AVE STE 360, FT WORTH, TX 76107-2100
(817) 779-4244
(817) 779-4429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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