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Organization
RELIANCE INTERNATIONAL CLINIC, LLC
Active
Organization
RELIANCE INTERNATIONAL CLINIC, LLC
Active
Other names
Omni Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LI (BILLING MANAGER)
(469) 623-1816
Entity
Organization
Contact information
Practice address
4040 MCDERMOTT RD STE 100, PLANO, TX 75024-7735
(469) 552-5988
(972) 668-1618
Mailing address
4040 MCDERMOTT RD STE 100, PLANO, TX 75024-7735
(469) 552-5988
(972) 668-1618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391435-02
—
TX
Enumeration date
10/10/2017
Last updated
10/10/2017
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