Organization
DIVERSE MEDICAL MANAGEMENT, INC.
Active
Parent organization
DIVERSE MEDICAL MANAGEMENT, INC.
Other names
DMMI, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSE MEDICAL MANAGEMENT, INC.
Authorized official
MICHAEL FREY (CEO)
(931) 409-4350
Entity
Organization
Contact information
Practice address
5021 TRAIL LAKE DR, PLANO, TX 75093-7530
(931) 409-4350
Mailing address
82 BECKRIDGE RD, MCMINNVILLE, TN 37110-5006
(931) 409-4350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000765200
TX
261QM1300X
Multi-Specialty Clinic/Center
000765200
TX
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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