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Organization

MATRIX MEDICAL NETWORK OF TEXAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA LEOLA BIVINS (OFFICE MANAGER)
(602) 464-5251
Entity
Organization

Contact information

Practice address
4545 E SHEA BLVD, SUITE 175, PHOENIX, AZ 85028-3074
(602) 464-5200
(480) 907-2108
Mailing address
4545 E SHEA BLVD, SUITE 175, PHOENIX, AZ 85028-3074
(602) 464-5200
(480) 907-2108

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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