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Organization
OMNICARE PHYSICIAN PROVIDERS LLC
Active
Organization
OMNICARE PHYSICIAN PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK MAJECKI (CEO)
(469) 573-5017
Entity
Organization
Contact information
Practice address
405 STATE HIGHWAY 121 BYP, SUITE A250, LEWISVILLE, TX 75067-8214
(469) 573-5017
(888) 431-4912
Mailing address
405 STATE HIGHWAY 121 BYP, SUITE A250, LEWISVILLE, TX 75067-8214
(469) 573-5017
(888) 431-4912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
02/22/2016
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