Beulah Family Clinic Professional Limited Liability Company
Beulah Family Clinic Professional Limited Liability Company is a Clinic/Center in Desoto, Texas. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1534-A N Hampton Rd Ste 100Desoto, TX 75115-0073
Phone: (469) 585-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1750144150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Moneke — Administrator · (817) 366-0950 |
| Other names | Beulah Medical Clinic; Beulah Medical Clinic |
| NPI enumerated | January 30, 2024 |
| Last updated in NPPES | June 28, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | 1534a N Hampton Rd, Desoto, TX 75115-2302 |
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