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Organization

CARE PHYSICIAN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANDREA I BOHANNON (CFO)
(214) 389-7380
Entity
Organization

Contact information

Practice address
630 N COIT RD, STE 2200, RICHARDSON, TX 75080-3700
(214) 389-7400
(214) 389-7350
Mailing address
610 N COIT RD, STE 2120, RICHARDSON, TX 75080-5457
(214) 389-7400
(214) 389-7350

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/26/2007
Last updated
09/10/2010
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