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Organization (NPI-2) Active

Family Medicine, Sports Medicine

Provider Information

NPI Number
1811437890
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
400 S JEFFERSON ST, HILLSBORO, KS, 670631753
Phone
(972) 367-4845

Specialties & Taxonomies

Family Medicine, Sports Medicine Primary License: KS #04-34857

All Addresses

MAILING

5050 SPRING VALLEY RD.

DALLAS, TX, 752443909

LOCATION

400 S JEFFERSON ST

HILLSBORO, KS, 670631753

(972) 367-4845