Organization
TEXAS MDDX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK T MONTESI (CEO)
(305) 791-2004
Entity
Organization
Contact information
Practice address
4808 S BUCKNER BLVD, DALLAS, TX 75227-2348
(214) 388-4808
Mailing address
4808 S BUCKNER BLVD, DALLAS, TX 75227-2348
(214) 388-4808
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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