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1114358413
COPPELL CARE
COPPELL, TX
NPI
1114358413
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Entity Type
Organization
Authorized Contact
MANOHAR VAJJA
Physician
972-899-1911
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: TX M7714)
Enumeration Date
2013-12-12
Last Update Date
2014-04-28
Business Address
COPPELL CARE
651 N DENTON TAP RD STE 100
COPPELL, TX 75019-2010
Phone number: 214-886-8496
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Mailing Address
COPPELL CARE
651 N DENTON TAP RD SUITE 100
COPPELL, TX 75019
Phone number: 972-899-1911
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