Organization
MEDCARE FAMILY AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BOUDREAUX (OPERATIONS)
(972) 792-0204
Entity
Organization
Contact information
Practice address
15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
(972) 792-0204
Mailing address
PO BOX 1142, ADDISON, TX 75001-1142
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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