Organization
MIDLAND VISITING DOCTORS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIBU JOSEPH (MANAGING MEMBER)
(972) 415-9856
Entity
Organization
Contact information
Practice address
17330 PRESTON RD STE 170A, DALLAS, TX 75252-5796
(972) 415-9856
Mailing address
17330 PRESTON RD STE 170A, DALLAS, TX 75252-5796
(469) 242-3826
(469) 242-3827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
12/06/2023
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