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Organization

MODOC FAMILY MEDICINE

Active
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Organization

MODOC FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY MCKENNA (OWNER)
(240) 994-0451
Entity
Organization

Contact information

Practice address
300 W CENTRAL TEXAS EXPY STE 115, HARKER HEIGHTS, TX 76548-1888
(254) 833-8456
Mailing address
300 W CENTRAL TEXAS EXPY STE 115, HARKER HEIGHTS, TX 76548-1888
(254) 833-8456

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
02/08/2012
Last updated
08/04/2023
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