Organization
TOTAL HEALTH DIAGNOSTIC SOLUTIONS 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MARTIN DC (PRESIDENT)
(469) 215-3494
Entity
Organization
Contact information
Practice address
5228 VILLAGE CREEK DR, PLANO, TX 75093-0402
(469) 215-3494
Mailing address
7235 BLYTHDALE DR, DALLAS, TX 75248-1551
(469) 215-3494
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
02/04/2022
Last updated
03/13/2022
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