Mansfield Medical Clinic

NPI #1407966815 in Mansfield, Texas

Provider Information

NPI Number
1407966815
Entity Type
Organization
Organization Name
Mansfield Medical Clinic
Primary Specialty
Family Medicine
Enumeration Date
Aug 30, 2006
Last Updated
Jun 6, 2008

Practice Location

Address
1720 E BROAD ST
State
Texas
ZIP Code
76063-3400
Phone
(817) 453-5912

Authorized Official

Name
DR. JAMES IRVINE, D.O
Title
OWNER
Phone
(817) 453-5912

Specialties & Taxonomy Codes

Specialty
Family Medicine

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