Organization
PRIMAL MEDICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES CLARK OWNER (COO)
(917) 250-0068
Entity
Organization
Contact information
Practice address
911 E MCDONALD DR, PILOT POINT, TX 76258-2948
(917) 250-0068
Mailing address
911 E MCDONALD DR, PILOT POINT, TX 76258-2948
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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