Organization
INTEGRATIVE MULTIDISCIPLINARY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W EAST DO (OWNER)
(214) 722-7102
Entity
Organization
Contact information
Practice address
670 N MACARTHUR BLVD, COPPELL, TX 75019-2733
(972) 745-4446
(972) 745-2597
Mailing address
670 N MACARTHUR BLVD, COPPELL, TX 75019-2733
(972) 745-4446
(972) 745-2597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P8718
TX
Other
Enumeration date
05/02/2017
Last updated
10/13/2017
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