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Organization
PLEASANT GROVE FAMILY MEDICAL CLINIC, PA
Active
Organization
PLEASANT GROVE FAMILY MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D HOFFMAN DO (OWNER/PHYSICIAN)
(214) 358-0090
Entity
Organization
Contact information
Practice address
2959 S BUCKNER BLVD, STE 700, DALLAS, TX 75227-6945
(214) 206-4974
(214) 206-4979
Mailing address
9991 MARSH LN, DALLAS, TX 75220-1766
(214) 358-0090
(214) 526-6851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178058703
—
TX
Enumeration date
05/02/2006
Last updated
04/09/2012
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