Organization
LOW T CENTER PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SISK (MEMBER)
(817) 845-4677
Entity
Organization
Contact information
Practice address
5393 DALLAS PARKWAY, STE 200B, PLANO, TX 75093
(972) 378-5698
Mailing address
5393 DALLAS PARKWAY, STE 200B, PLANO, TX 75093
(972) 378-5698
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
H4424
TX
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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