Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Coppell Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Mailing address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
10/05/2010
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