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Organization

EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS O OCHEI M.D. (EXECUTIVE DIRECTOR)
(469) 206-2630
Entity
Organization

Contact information

Practice address
2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115-2019
(469) 206-2630
(214) 730-4281
Mailing address
2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115-2019
(469) 206-2630
(214) 730-4281

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8394
TX

Other

Enumeration date
01/02/2013
Last updated
11/03/2016
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