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Organization
AHR MEDICAL GROUP, PA
Active
Organization
AHR MEDICAL GROUP, PA
Active
Other names
Nextgen Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT STOPHLET D.O. (PHYSICAL THERAPIST)
(972) 382-9992
Entity
Organization
Contact information
Practice address
4101 CENTURION WAY, ADDISON, TX 75001-4347
(972) 382-9992
Mailing address
4101 CENTURION WAY, ADDISON, TX 75001-4347
(972) 382-9992
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1265208
TX
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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