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Organization
AD COMPLETE HEALTH CARE, PLLC
Active
Organization
AD COMPLETE HEALTH CARE, PLLC
Active
Other names
Ponder Medical, Justin Medical, Northlake Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DAVIS PA-C (MEMBER)
(940) 368-7769
Entity
Organization
Contact information
Practice address
1545 WESTVIEW LN, NORTHLAKE, TX 76226-1467
(940) 368-7769
Mailing address
PO BOX 128, ROANOKE, TX 76262-0128
(940) 368-7769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
06/16/2018
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