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Organization
SORA LILY HEALTH CLINIC LLC
Active
Organization
SORA LILY HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD HELLEMN M.D. (OWNER)
(972) 517-2171
Entity
Organization
Contact information
Practice address
280 LEGACY DR, #106, PLANO, TX 75023-2376
(972) 517-2171
Mailing address
280 LEGACY DR, #106, PLANO, TX 75023-2376
(972) 517-2171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N0087
TX
Other
Enumeration date
07/22/2013
Last updated
10/03/2014
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