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Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Coppell Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Mailing address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/21/2010
Last updated
10/05/2010
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