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Organization
JOHN M TILLEY MD PA
Active
Organization
JOHN M TILLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M TILLEY M.D. (OWNER)
(972) 317-0331
Entity
Organization
Contact information
Practice address
2300 HIGHLAND VILLAGE RD, STE# 600, HIGHLAND VILLAGE, TX 75077-7148
(972) 317-0331
(972) 317-3811
Mailing address
2300 HIGHLAND VILLAGE RD, STE# 600, HIGHLAND VILLAGE, TX 75077-7148
(972) 317-0331
(972) 317-3811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0208
TX
Other
Enumeration date
12/08/2009
Last updated
04/21/2021
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