Ridge Road Medical Center PA

NPI #1366488512 in Rockwall, Texas

Provider Information

NPI Number
1366488512
Entity Type
Organization
Organization Name
Ridge Road Medical Center PA
Primary Specialty
Family Medicine
Enumeration Date
Jun 22, 2006
Last Updated
Mar 26, 2010

Practice Location

Address
2306 RIDGE RD
State
Texas
ZIP Code
75087-5140
Phone
(972) 771-8316

Authorized Official

Name
DR. CARL K MCKENNEY, DO
Title
PRESIDENT
Phone
(972) 771-8316

Specialties & Taxonomy Codes

Specialty
Family Medicine

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