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Organization

ID PHYSICIAN CONSULTATION SERVICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHANAD BAKLEH M.D (PHYSICIAN)
(214) 914-6873
Entity
Organization

Contact information

Practice address
716 BEDELL LN, MURPHY, TX 75094-4260
(214) 914-6873
Mailing address
716 BEDELL LN, MURPHY, TX 75094-4260
(214) 914-6873

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M7840
TX

Other

Enumeration date
02/08/2010
Last updated
05/10/2010
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