Organization
ADDISON TOTAL WELLNESS CLINIC, PLLC
Active
Parent organization
MODERN MALE T-CLINIC, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN MALE T-CLINIC, P.A.
Authorized official
SALVATORE CAMPO DO (DO/PHYSICIAN)
(214) 714-5343
Entity
Organization
Contact information
Practice address
15340 DALLAS PKWY STE 2400, DALLAS, TX 75248-6459
(800) 246-5698
Mailing address
5000 ELDORADO PKWY STE 150-153, FRISCO, TX 75033-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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