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1487156139
PRIME MD GERIATRICS, PLLC
COPPELL, TX
NPI
1487156139
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Entity Type
Organization
Authorized Contact
DIVYASWAPNIKA JAVVAJI
Manager
972-393-1699
Organization Subpart ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
Enumeration Date
2018-03-07
Last Update Date
2024-06-07
Business Address
PRIME MD GERIATRICS, PLLC
452 STATE HIGHWAY 121 UNIT 130
COPPELL, TX 75019-4275
Phone number: 972-393-1699
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Mailing Address
PRIME MD GERIATRICS, PLLC
452 STATE HIGHWAY 121 UNIT 130
COPPELL, TX 75019-4275
Phone number: 972-393-1699
Copy
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