Organization
COMMUNITYMED PCP
Active
Other names
CommunityMed Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
BIRKEN OLSON (CHIEF ADMINISTRATOR)
(972) 523-4973
Entity
Organization
Contact information
Practice address
3106 MCKINNEY ST, SUITE 100, MELISSA, TX 75454-9742
(972) 464-1611
Mailing address
16775 ADDISON RD STE 200, ADDISON, TX 75001-5654
(972) 523-4973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
04/03/2021
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