Ebie Community Medical Pllc

NPI #1194858977 in Desoto, Texas

Provider Information

NPI Number: 1194858977
Entity Type: Organization
Organization Name: Ebie Community Medical Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Mar 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1670 N HAMPTON RD
Address 2: SUITE 103
City: Desoto
State: Texas
ZIP Code: 75115-8302
Phone: (972) 224-3434

Authorized Official

Name: VELESA PRISCILLA JONES
Title: ADMINISTRATOR
Phone: (972) 224-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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