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Organization

EPIC PRIMARY CARE OF TEXAS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYESHA JAMAL M.D. (OWNER/SOLE PROPRIETER)
(972) 268-0591
Entity
Organization

Contact information

Practice address
3504 SPRINGBRANCH DR, RICHARDSON, TX 75082-2430
(972) 268-0591
Mailing address
3504 SPRINGBRANCH DR, RICHARDSON, TX 75082-2430

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2580
TX

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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