Organization
MEDCONMD1 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KYLE HOOPER (EXECUTIVE VICE PRESIDENT)
(817) 291-7405
Entity
Organization
Contact information
Practice address
7502 GREENVILLE AVE, DALLAS, TX 75231-3802
(844) 391-7277
(512) 857-1634
Mailing address
PO BOX 935, FORNEY, TX 75126-0935
(844) 391-7277
(512) 857-1634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/10/2024
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