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Organization
HEALTHPLACE
Active
Organization
HEALTHPLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH O FALOLA MD (PRESIDENT)
(972) 436-1811
Entity
Organization
Contact information
Practice address
403 W MAIN ST, SUITE B, LEWISVILLE, TX 75057-3757
(972) 436-1811
Mailing address
403 W MAIN ST, SUITE B, LEWISVILLE, TX 75057-3757
(972) 436-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K07040
TX
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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