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Organization
MACC ENTERPRISES LLC
Active
Organization
MACC ENTERPRISES LLC
Active
Other names
ACTIVERX - PLANO
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R WILLIS (OWNER/PRESIDENT)
(214) 402-3882
Entity
Organization
Contact information
Practice address
3820 AMERICAN DR, SUITE 170, PLANO, TX 75075-6126
(972) 985-6006
(972) 685-6001
Mailing address
3820 AMERICAN DR, SUITE 170, PLANO, TX 75075-6126
(972) 985-6006
(972) 985-6001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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