Organization
EBIE COMMUNITY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELESA PRISCILLA JONES (ADMINISTRATOR)
(972) 224-3434
Entity
Organization
Contact information
Practice address
1670 N HAMPTON RD, SUITE 103, DESOTO, TX 75115-8302
(972) 224-3434
(972) 224-3442
Mailing address
1670 N HAMPTON RD, SUITE 103, DESOTO, TX 75115-8302
(972) 224-3434
(972) 224-3442
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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