Medstream Wellness Medical Group

NPI #1053625996 in Mckinney, Texas

Provider Information

NPI Number
1053625996
Entity Type
Organization
Organization Name
Medstream Wellness Medical Group
Primary Specialty
Family Medicine
Enumeration Date
Aug 3, 2010
Last Updated
Jan 3, 2011

Practice Location

Address
1505 HARROUN AVE
Address 2
STE C
State
Texas
ZIP Code
75069-3432
Phone
(469) 619-3080

Authorized Official

Name
VICKI B DAVIS, M.D.
Title
MEDICAL DOCTOR
Phone
(469) 619-3080

Specialties & Taxonomy Codes

Specialty
Family Medicine

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