Organization
AHR MEDICAL GROUP, PA
Active
Other names
Nextgen Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT STOPHLET D.O. (PHYSICAL THERAPIST)
(972) 382-9992
Entity
Organization
Contact information
Practice address
4101 CENTURION WAY, ADDISON, TX 75001-4347
(972) 382-9992
Mailing address
4101 CENTURION WAY, ADDISON, TX 75001-4347
(972) 382-9992
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1265208
TX
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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