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Contact Information

CIM MEDICAL,PLLC
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX76092-6462
 Phone: 903-600-5312
 Fax: 817-259-2613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for CIM MEDICAL,PLLC

NPI Number 1871284380
LBN Legal business name CIM MEDICAL,PLLC
Authorized official DANA CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2023
Last updated 05/16/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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