Organization
SPECIALTY CLINICS OF DALLAS
Active
Organization
SPECIALTY CLINICS OF DALLAS
Active
Other names
Excel Family Medicine & Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET MARTINEZ (PRACTICE ADMINISTRATOR)
(469) 206-2630
Entity
Organization
Contact information
Practice address
2707 BOLTON BOONE DR STE 100, DESOTO, TX 75115-2077
(469) 206-2630
(214) 730-4281
Mailing address
2707 BOLTON BOONE DR STE 100, DESOTO, TX 75115-2077
(469) 206-2630
(214) 730-4281
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
AP125211
TX
Other
Enumeration date
03/26/2015
Last updated
04/07/2021
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