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Organization
MEDIVELLE LLC
Active
Organization
MEDIVELLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS LOPEZ (OWNER)
(407) 077-0191
Entity
Organization
Contact information
Practice address
302 TRAILWOOD DR, ALLEN, TX 75002-4936
(470) 770-1961
Mailing address
812 W MCDERMOTT DR # 1224, ALLEN, TX 75013-6500
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/12/2026
Last updated
10/12/2026
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