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Organization
MIHILLS HOME VISITS PLLC
Active
Organization
MIHILLS HOME VISITS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY LYN MIHILLS M.D. (MD/OWNER)
(817) 310-0421
Entity
Organization
Contact information
Practice address
1001 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6010
(817) 310-0421
(817) 310-5870
Mailing address
1001 W. SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6010
(817) 310-0421
(817) 310-5870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5053
TX
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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