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45D2271670 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE - SOUTH GARLAND

Laboratory Demographics

CLIA Number: 45D2271670

Facility Name: CENTERWELL SENIOR PRIMARY CARE - SOUTH GARLAND

Facility Address:
1205 NORTHWEST HWY
GARLAND, TX
ZIP 75041
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Facility Phone Number: 469 936-0541

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518689769

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D2271670
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE - SOUTH GARLAND
Street 1205 NORTHWEST HWY
City GARLAND
State TX
ZIP 75041
Phone 469 936-0541
CertificateType 4
CertificateEffectiveDate 11/7/2022
CertificateExpirationDate 11/6/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024