Organization
MEDICAL CARE OF TENNESSEE PLLC
Active
Parent organization
MEDICAL CARE OF TENNESSEE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL CARE OF TENNESSEE PLLC
Authorized official
JOSEPH N DE VERA (MANAGER MEMBER)
(901) 652-1598
Entity
Organization
Contact information
Practice address
3175 LENOX PARK BLVD, MEMPHIS, TN 38115-4260
(901) 652-1598
Mailing address
3175 LENOX PARK BLVD, MEMPHIS, TN 38115-4260
(901) 652-1598
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
04/22/2022
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