Organization
ACCUCARE FAMILY MEDICAL CENTER P.A.
Active
Other names
North Texas Professional Wound Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE A THERIOT MD (PRESIDENT)
(972) 816-0459
Entity
Organization
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(972) 816-0459
Mailing address
709 WEST RUSK STREET, SUITE B, #867, ROCKWALL, TX 75087
(972) 786-0140
(972) 786-0142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J9578
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
J9578
TX
Other
Enumeration date
06/12/2006
Last updated
07/13/2023
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