Medprofessional Consult LLC

NPI #1073159208 in Rockwall, Texas

Provider Information

NPI Number: 1073159208
Entity Type: Organization
Organization Name: Medprofessional Consult LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 22, 2019
Last Updated: Jan 17, 2020

Practice Location

Address: 5242 MEDICAL DR
City: Rockwall
State: Texas
ZIP Code: 75032-5001
Phone: (972) 772-8700

Authorized Official

Name: DR. MARIANA TAWADROUS, DO
Title: DO/OWNER
Phone: (414) 793-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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