Proliferativemed Pllc

NPI #1467082438 in Southlake, Texas

Provider Information

NPI Number
1467082438
Entity Type
Organization
Organization Name
Proliferativemed Pllc
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jan 18, 2020
Last Updated
Jan 18, 2020

Practice Location

Address
731 E SOUTHLAKE BLVD STE 110
State
Texas
ZIP Code
76092-6378
Phone
(817) 917-6197

Authorized Official

Name
DR. STEVEN B. SANDERS, MD
Title
OWNER
Phone
(972) 839-3777

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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