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Organization
FRONTLINE WHITEROCK MEDICAL CENTER LLC
Active
Organization
FRONTLINE WHITEROCK MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN T TRAN (OWNER)
(281) 961-3217
Entity
Organization
Contact information
Practice address
7331 GASTON AVE, SUITE 180, DALLAS, TX 75214-4131
(281) 961-3217
Mailing address
7051 FM 1464 RD, RICHMOND, TX 77407-9542
(281) 766-3811
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
P3089
TX
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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