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Organization
VICTOR BRAVO MHT LLC
Active
Organization
VICTOR BRAVO MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BRAVO MD (OWNER)
(800) 359-4701
Entity
Organization
Contact information
Practice address
1215 S COULTER ST, SUITE 100, AMARILLO, TX 79106-1758
(972) 616-4702
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2258
TX
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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