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Organization
IMMACULATE CONCEPTION HEALTH SERVICES LLC
Active
Organization
IMMACULATE CONCEPTION HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGRUTI RAJ (OWNER)
(423) 933-5223
Entity
Organization
Contact information
Practice address
2105 W SPRING CREEK PKWY STE 320, PLANO, TX 75023-4566
(423) 933-5223
(682) 270-0116
Mailing address
2105 W SPRING CREEK PKWY STE 320, PLANO, TX 75023-4566
(423) 933-5223
(682) 270-0116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/09/2021
Last updated
05/26/2023
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