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Organization

MEDICAL EDGE HEALTHCARE GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAY HEIGHTEN (PRESIDENT)
(972) 739-3001
Entity
Organization

Contact information

Practice address
4601 MEDICAL CENTER DR, MCKINNEY, TX 75069-1771
(972) 562-9222
(972) 562-9211
Mailing address
PO BOX 650268, DALLAS, TX 75265-0268
(888) 238-9671

Taxonomy

Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
R31452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200384001
TX
Enumeration date
01/16/2008
Last updated
04/27/2010
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