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Organization

BEULAH FAMILY CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY

Active
Other names
Beulah Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK MONEKE (ADMINISTRATOR)
(817) 366-0950
Entity
Organization

Contact information

Practice address
1534-A N HAMPTON ROAD, SUITE 100, DESOTO, TX 75115-0073
(469) 585-8129
Mailing address
1534A N HAMPTON RD, DESOTO, TX 75115-2302

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/30/2024
Last updated
06/28/2024
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