Modera Clinic Pllc
NPI #1962957639 in Little Elm, Texas
Provider Information
- NPI Number
- 1962957639
- Entity Type
- Organization
- Organization Name
- Modera Clinic Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 2700 E ELDORADO PKWY STE 104B
- City
- Little Elm
- State
- Texas
- ZIP Code
- 75068-5999
- Phone
- (972) 987-0458
Authorized Official
- Name
- DR. TREVOR KYLE HUBER, DO
- Title
- OWNER
- Phone
- (972) 987-0458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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