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Organization

MEDHEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER KENYON (CREDENTIALING MANAGER)
(214) 947-4523
Entity
Organization

Contact information

Practice address
4560 LAKE RIDGE PARKWAY, SUITE 300, GRAND PRAIRIE, TX 75052
(214) 948-2076
(214) 948-9990
Mailing address
1441 N. BECKLEY AVE., ATTN: DALLAS METHODIST PHYSICIANS NETWORK, DALLAS, TX 75203
(214) 947-4523
(214) 947-8520

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/14/2018
Last updated
06/11/2019
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