Medstream Wellness Medical Group

NPI #1023310067 in Mckinney, Texas

Provider Information

NPI Number
1023310067
Entity Type
Organization
Organization Name
Medstream Wellness Medical Group
Primary Specialty
Internal Medicine
Enumeration Date
Nov 24, 2010
Last Updated
Nov 24, 2010

Practice Location

Address
1505 HARROUN AVE STE C
State
Texas
ZIP Code
75069-3433
Phone
(469) 952-6400

Authorized Official

Name
DR. VICKI BLACKMON DAVIS, M.D.
Title
OWMER
Phone
(469) 952-6400

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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