# AD COMPLETE HEALTH CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ponder Medical, Justin Medical, Northlake Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346731676
- **Authorized official:** KEVIN DAVIS PA-C (MEMBER)
- **Authorized official phone:** (940) 368-7769

## Contact information

- **Practice address:** 1545 WESTVIEW LN, NORTHLAKE, TX 76226-1467
- **Practice address phone:** (940) 368-7769
- **Mailing address:** PO BOX 128, ROANOKE, TX 76262-0128
- **Mailing address phone:** (940) 368-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 06/16/2018
