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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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