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1689494056
MODERN MED INTEGRATIVE HEALTH
SOUTHLAKE, TX
NPI
1689494056
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Entity Type
Organization
Authorized Contact
NAZIMUDDIN MOHAMMED
Owner
469-200-4093
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
MODERN MED INTEGRATIVE HEALTH
281 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-7052
Phone number: 469-200-4093
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Mailing Address
MODERN MED INTEGRATIVE HEALTH
281 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-7052
Phone number: 469-200-4093
Copy
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