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Organization

RICHARDSON WALK IN CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JEFFREY JENKS M.D. (MANAGER)
(956) 545-1694
Entity
Organization

Contact information

Practice address
930 E CAMPBELL RD, SUITE 106, RICHARDSON, TX 75081-2047
(956) 545-1694
Mailing address
930 E CAMPBELL RD, SUITE 106, RICHARDSON, TX 75081-2047
(956) 545-1694

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L1083
TX

Other

Enumeration date
06/29/2012
Last updated
11/08/2012
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