Organization
MIRAE CLINIC
Active
Organization
MIRAE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KOH D.C. (PRESIDENT)
(214) 352-6677
Entity
Organization
Contact information
Practice address
2035 ROYAL LN STE 280, DALLAS, TX 75229-3268
(214) 352-6677
(877) 643-4072
Mailing address
2035 ROYAL LN STE 280, DALLAS, TX 75229-3268
(214) 352-6677
(877) 643-4072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8306
TX
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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