Hidden Lakes Health Center Pllc

NPI #1801198221 in Keller, Texas

Provider Information

NPI Number: 1801198221
Entity Type: Organization
Organization Name: Hidden Lakes Health Center Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 18, 2010
Last Updated: Oct 4, 2011

Practice Location

Address: 8861 DAVIS BOULEVARD
City: Keller
State: Texas
ZIP Code: 76248
Phone: (817) 753-6561

Authorized Official

Name: JEFF HENDERSON
Title: VP
Phone: (972) 401-8720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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