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NPI Profile for MIDLOTHIAN MEDICAL SPORTS CENTER PLLC in MIDLOTHIAN, TX.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1841991346 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/13/2023 | |
| Last updated | 09/27/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC