Primary Care of Van Vleck, Pllc

NPI #1467190421 in Van Vleck, Texas

Provider Information

NPI Number: 1467190421
Entity Type: Organization
Organization Name: Primary Care of Van Vleck, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2022
Last Updated: May 23, 2022

Practice Location

Address: 170 S 4TH ST
Address 2: #2
City: Van Vleck
State: Texas
ZIP Code: 77482
Phone: (979) 245-2421

Authorized Official

Name: MOHAMMED ATIQ DADA, MD
Title: OWNER
Phone: (979) 245-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Nephrology — Nephrology	207RN0300X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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