Organization
PHYSICIANS MEDICAL DATA AND RESEARCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PIPPIN (CEO)
(888) 548-1149
Entity
Organization
Contact information
Practice address
221 W MILL VALLEY DR, COLLEYVILLE, TX 76034-3672
(888) 548-1149
Mailing address
221 W MILL VALLEY DR, COLLEYVILLE, TX 76034-3672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1826
TX
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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