Organization
CARROLLTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB JOHN NOVAK MD (PRESIDENT)
(972) 899-6666
Entity
Organization
Contact information
Practice address
1016 E HEBRON PKWY, SUITE 170, CARROLLTON, TX 75010-1000
(972) 300-0600
(972) 300-0604
Mailing address
PO BOX 961245, FORT WORTH, TX 76161
(972) 899-6650
(972) 899-6665
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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