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Organization

OCCUMED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATT MIDDLEBROOK (MANAGER)
(972) 494-1419
Entity
Organization

Contact information

Practice address
2046 FOREST LN, SUITE 180, GARLAND, TX 75042-7958
(972) 494-1419
(972) 494-2069
Mailing address
2046 FOREST LN, SUITE 180, GARLAND, TX 75042-7958
(972) 494-1419
(972) 494-2069

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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