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Organization
MAXHEALTH FAMILY, INTERNAL & SPORTS MEDICINE
Active
Organization
MAXHEALTH FAMILY, INTERNAL & SPORTS MEDICINE
Active
Parent organization
MAXHEALTH MEDICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAXHEALTH MEDICAL ASSOCIATES
Authorized official
TRACY SCHRIMPF (COO)
(817) 355-8000
Entity
Organization
Contact information
Practice address
5207 HERITAGE AVE, COLLEYVILLE, TX 76034-5915
(817) 355-8000
Mailing address
5207 HERITAGE AVE, COLLEYVILLE, TX 76034-5915
(817) 355-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/16/2018
Last updated
01/20/2020
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