Mediclink Management Group

NPI #1013391184 in Southlake, Texas

Provider Information

NPI Number: 1013391184
Entity Type: Organization
Organization Name: Mediclink Management Group
Primary Specialty: Family Medicine
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 415 E SOUTHLAKE BLVD STE 100
City: Southlake
State: Texas
ZIP Code: 76092-6279
Phone: (817) 506-4132

Authorized Official

Name: MR. ARTHUR L HOHENBERGER
Title: SOLE MBR
Phone: (817) 506-4132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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