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Organization

INFINIT MEN'S HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE MCKENZIE KELLEHER PA-C (FOUNDER)
(405) 550-4924
Entity
Organization

Contact information

Practice address
279 W HIDDEN CREEK PKWY STE 1209, BURLESON, TX 76028
(817) 339-6252
(817) 662-6255
Mailing address
10108 HUNTERSVILLE TRL, FORT WORTH, TX 76108-2062
(405) 550-4924

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/02/2019
Last updated
10/23/2019
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