PROVIDENT MEDICAL CENTER
Ambulatory Health in Dallas, TX

License number
Texas E1172
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. RONALD JEFFREY WASHINGTON I M.D
Title: OWNER ADMINISTRATOR
Phone: (214) 948-7783
Address
Address
831 Sr L Thornton Fwy, Dallas, TX 75203
National Provider ID: 1659446409
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENT MEDICAL CENTER at bizstanding.com

Provident Medical Center PA

Dallas, TX

Industry:
Medical Practice, Medical Doctor's Office
Phone:
(214) 948-7744 (Phone)
Description:
Provident Medical Center PA is a Medical Practice company located in 831 S R L Thornton Fwy, Dallas, Texas, United States.
Addresses:
831 S R L Thornton Fwy, Dallas, TX 75203
831 State Rd L, Dallas, TX 75203
Office Managers:
Ronald J. Washington (President, Internal Medicine, Medical Doctor),Miko D. Leffaol (Office Manager)

Provident Medical Center - Ronald J Washington MD

831 S R L Thornton Fwy, Dallas, TX 75203

Categories:
Internal Medicine Physicians & Surgeons
Phone:
(214) 948-7783 (Phone)

PROVIDENT MEDICAL CENTER, PLLC

Dallas, TX

Status:
Inactive
Doing business as:
Provident Medical Center, Pllc
Registration:
Feb 24, 2004
Addresses:
831 S R L Thornton Fwy, Dallas, TX 75203 (Mailing)
831 State Rd L, Dallas, TX 75203
State ID:
0800308943
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, President, Director:
Ronald Washington (DIRECTOR, President, Director), 831 Srl Thorton Fwy, Dallas, TX 75203
Agent:
Ronald J. Washington,831 S R.l Thornton Fwy, Dallas, TX 75203 (Physical)
TIN:
17523043960

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