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Organization

MEDICAL CLINIC OF NORTH TEXAS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA KINNEY COUTANT M.B.A. (ADMINISTRATIVE ASSISTANT)
(817) 514-5258
Entity
Organization

Contact information

Practice address
2501 SCRIPTURE ST, SUITE 200, DENTON, TX 76201-2313
(940) 591-6600
(940) 591-6600
Mailing address
9003 AIRPORT FWY, SUITE 300, NORTH RICHLAND HILLS, TX 76180-7770
(817) 514-5200
(817) 514-5210

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M2590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X0143042
TEXAS D.P.S. NUMBER
TX
Enumeration date
08/31/2006
Last updated
08/22/2020
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