MODERN MALE T-CLINIC, P.A. is a general practice in Dallas, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee MODERN MALE T-CLINIC, P.A. NPI is 1518389022. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
15340 DALLAS PKWY
STE2400
DALLAS, TX
ZIP 75248-636
Phone: (800) 246-5698
The provider's authorized official is Salvatore Campo .
The authorized official title is Owner and has the following contact phone number (800) 246-5698.
The CLIA number assigned to this NPI record is 45D2071972 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 1/17/2014 and was last updated on 1/17/2014.