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Organization

MEDDIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID JOHNSTON (SR. VICE PRESIDENT)
(972) 795-0563
Entity
Organization

Contact information

Practice address
4351 BOOTH CALLOWAY RD STE 410, NORTH RICHLAND HILLS, TX 76180-7381
(817) 255-1170
(817) 255-1171
Mailing address
900 PARKER SQ STE 250, FLOWER MOUND, TX 75028-7440
(972) 795-0563
(972) 483-2194

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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