Organization
MEDTELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NJIDEKA DOMRUFUS APRN (DIRECTOR)
(817) 524-7107
Entity
Organization
Contact information
Practice address
9330 LBJ FWY STE 900, DALLAS, TX 75243-3443
(469) 626-9911
Mailing address
9330 LBJ FWY STE 900, DALLAS, TX 75243-3443
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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