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Organization
MEDICAL GROUP OF TEXAS PLLC
Active
Organization
MEDICAL GROUP OF TEXAS PLLC
Active
Parent organization
MEDICAL GROUP OF TEXAS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL GROUP OF TEXAS PLLC
Authorized official
JEFF SCOTT BROUWER (OWNER)
(602) 249-0999
Entity
Organization
Contact information
Practice address
825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
(918) 550-3552
Mailing address
825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
(918) 550-3552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/06/2020
Last updated
02/03/2021
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