Organization
WHITE ROCK CLINIC LLC
Active
Organization
WHITE ROCK CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL A LOZANO PA-C (PRESIDENT)
(214) 327-2883
Entity
Organization
Contact information
Practice address
9102 GARLAND RD, DALLAS, TX 75218-3901
(214) 327-2883
(214) 327-2471
Mailing address
9102 GARLAND RD, DALLAS, TX 75218-3901
(214) 327-2883
(214) 327-2471
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K9223
TX
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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