Organization
HEALING PLACE COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS D LAWS (ADMINSTRATOR)
(817) 791-1320
Entity
Organization
Contact information
Practice address
210 S MAIN ST, DUNCANVILLE, TX 75116-4763
(972) 200-4565
(650) 560-1815
Mailing address
210 S MAIN ST, DUNCANVILLE, TX 75116-4763
(972) 200-4565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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