Organization
AD COMPLETE HEALTH CARE, PLLC
Active
Other names
Ponder Medical, Justin Medical, Northlake Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DAVIS PA-C (MEMBER)
(940) 368-7769
Entity
Organization
Contact information
Practice address
1545 WESTVIEW LN, NORTHLAKE, TX 76226-1467
(940) 368-7769
Mailing address
PO BOX 128, ROANOKE, TX 76262-0128
(940) 368-7769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
06/16/2018
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