| Organization Name: | MULTICARE MEDICAL GROUP |
| NPI Number: | 1669412490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MARGOLIES (EXECUTOR) |
| Mailing Address: | 208 W Spring Valley Rd Richardson |
| State: | TX US |
| Postal Code: | 750814034 |
| Phone Number: | 9722381976 |
| Fax Number: | 9722380456 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D2028 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |