Amendment to Purchasing Agreement Agreement Number: NTD-5086
EXHIBIT 10.17
Amendment to Purchasing Agreement
Agreement Number: NTD-5086
Effective as of January 1, 0000, Xxxxx Xxxxx Division, Inc., d/b/a Medical City Healthcare having its principal place of business at 0000 Xxxxx XxxXxxxxx Xxxx., Xxxxx 000, Xxxxxx, XX 00000 (hereinafter referred to as “Division/Facility”), and CPM Medical, (hereinafter referred to as “Seller” or “Vendor”), having its principal place of business at 0000 X. Xxxxxxx Xxxxxxxxxx, Xxxxx 000, Xxxxxxxxxx, XX 00000, hereby agree to amend their Purchasing Agreement dated June 1, 2015 for Biologics (the “Agreement”), as follows:
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1. |
Definitions. The capitalized terms in this Amendment shall have the meaning designated in the Agreement unless otherwise expressly provided herein. |
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2. |
Term. The term of the Agreement shall be extended to December 31, 2018. |
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3. |
Products and Pricing. The current Exhibit A to the Agreement shall be replaced with replacement Exhibit A attached hereto and dated January 1, 2018. |
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4. |
Facility List. The current Exhibit E to the Agreement shall be replaced with replacement Exhibit E attached hereto and dated January 1, 2018. |
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5. |
Except as expressly amended by this Amendment, the terms and conditions of the Agreement shall remain in full force and effect. |
IN WITNESS WHEREOF, the parties hereby indicate their agreement to the terms of this Amendment by the signatures of their authorized representatives.
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Division/Facility |
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Vendor |
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By: |
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By: |
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Name: |
M. Xxxxx Xxxxxx |
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Name: |
Xxxx XxXxxxxxxx |
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Title: |
Division CFO |
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Title: |
Chief Financial Officer |
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Date: |
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Date: |
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Vendor Federal Tax ID Number: |
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Division: North Texas Division, Inc. d/b/a Medical City Healthcare
Vendor: CPM Medical
Date: January 1, 2018
Products/Services with Pricing
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Part Number |
Part Description |
HCA 2018 Unit Price |
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MAR01 |
BMA and Stem Cell Separator |
$1,400.00 |
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AMS310 |
PRP Centrifuge and Cell Separator |
$350.00 |
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EBF1-100X25-10 |
Bi-Ostetic Granules in Collagen Matrix (HA-TCP) l0cc - 1 Strip (100mm x 25mm x 4mm) |
$1,130.00 |
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EBF2-50X10-05 |
Bi-Ostetic Granules in Collagen Matrix (HA-TCP) 5cc - 2 Strips (50mm x 10mm x 5mml |
$665.00 |
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EBF1-000x00x00 |
EvoGraft Synthetic Strip 10cc |
$1,130.00 |
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EBF1-100x25x15 |
EvoGraft Synthetic Strip 15cc |
$1,396.00 |
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EBF2-50X10-05 |
Bi-Ostetic Granules in Galleon Matrix (HA-TCP) 5cc - 2 Strips (50mm x 10mm x 5mm} |
$665.00 |
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EV73008 |
EvoSponge 8mm |
$106.00 |
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EV73010 |
EvoSponge 10mm |
$231.00 |
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EV73012 |
EvoSponge 12mm |
$369.00 |
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EV73014 |
EvoSponge 14mm |
$489.00 |
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EV73016 |
EvoSponge 16mm |
$489.00 |
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APS-5230 |
AmnioFix Amniotic Membrane Allograft 2cm x 3cm |
$807.00 |
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APS-5440 |
AmnioFix Amniotic Membrane Allograft 4cm x 4cm |
$1,330.00 |
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AAS-5330 |
AmnioFix Amniotic Membrane Allograft 3cm x 3cm |
$973.00 |
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AAS-5460 |
AmnioFix Amniotic Membrane Allograft 4cm x 6cm |
$1,710.00 |
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AAS-5660 |
AmnioFix Amniotic Membrane Allograft 6cm a 6cm |
$2,180.00 |
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AI-5050 |
Amniotic Membrane Tissue, Micronized 0.5m1 |
$688.00 |
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AI-512 |
Amniotic Membrane Tissue, Micronized 1.25m1 |
$945.00 |
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AI-5200 |
Amniotic Membrane Tissue, Micronized 2.0m1 |
$1,895.00 |
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IN-5220 |
AmnioFix Nerve Wrap Amniotic Membrane Allograft 2cm x 2cm |
$798.00 |
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TN-5240 |
AmnioFix Nerve Wrap Amniotic Membrane Allograft 2cm a 4cm |
$1,377.00 |
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TN-5360 |
AmnioFix Nerve Wrap Amniotic Membrane Allograft 3cm x 6cm |
$2,090.00 |
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TN-5460 |
AmnioFix Nerve Wrap Amniotic Membrane Allograft 4cm x 6cm |
$2,406.00 |
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VX-EP5 |
DBM Plus Crunch 5cc |
$ 475.00 |
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VX-EP10 |
DBM Plus Crunch 10cc |
$807.00 |
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VX-EP3 |
DBM Plus Crunch 3cc |
$285.00 |
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VX-EP1 |
DBM Plus Crunch 1cc |
$95.00 |
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VCA-025000 |
Viagraft 2-5cc |
$845.00 |
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VCA-050000 |
Viagraft 5cc |
$1,558.00 |
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VCA-100000 |
Viagraft 10cc |
$2,707.00 |
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VCAFM-025000 |
Via Form M 2.5cc |
$845.00 |
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VCAFM-050000 |
Via Form M 5.0cc |
$1,558.00 |
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VCAFM-100000 |
Via Form-M 10.0ce |
$2,707.00 |
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ALL-0025 |
Allogen .25m1 |
$475.00 |
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ALL-0050 |
ALLogen .5m1 |
$688.00 |
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ALL-0100 |
ALLogen 1.0m1 |
$807.00 |
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ALL-0200 |
ALLogen 2.0m1 |
$1,895.00 |
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FCO 002500 |
FenFlex 15mm x 25mm |
$356.00 |
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FCO 005000 |
FenFlex 15mm x 50mm |
$712.00 |
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FCO 010000 |
FenFlex 15mm x 100mm |
$1,211.00 |
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FCO 015000 |
FenFlex 15mm x 150mm |
$1,496.00 |
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2106 |
Xxxxx Wedge 6mm |
$921.00 |
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2108 |
Xxxxx Wedge 8mm |
$921.00 |
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2110 |
Xxxxx Wedge 10mm |
$921.00 |
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2112 |
Xxxxx Wedge 12mm |
$921.00 |
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Cotton Wedge 5mm |
$746.00 |
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2206 |
Cotton Wedge 6mm |
$746.00 |
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2207 |
Cotton Wedge 7mm |
$746.00 |
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2208 |
Cotton Wedge 8mm |
$746.00 |
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0779 |
Osteotomy Wedge |
$931.00 |
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3039 |
Cancellous Morselized 05cc (1-4mm) Metis Macro Particulate |
$52.00 |
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1404 |
Canncellous Crushed 15cc (2-10) |
$156.00 |
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VX-2850 |
Xxxx Cancellous Sponges 50mmx24mmx05mm |
$1,068.00 |
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VX-2857 |
Xxxx Cancellous Sponges SOmmx2Ommx07mm |
$1,496.00 |
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VX-3116 |
Xxxx Cancellous Sponges 12mmx12mmx12mm |
$369.00 |
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VX-2814 |
Xxxx Cancellous Sponges 14mmal4mmx14mm |
$588.00 |
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CAS010100 |
Cygnus Solotm Amnion Patch, lxlcm |
$185.00 |
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CAS020200 |
Cygnus Solotm Amnion Patch, 2x2cm |
$660.00 |
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XXX000000 |
Cygnus Solotm Amnion Single Layer Patch, 2x3cm, Thin |
$807.00 |
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CAS030300 |
Cygnus Solotm Amnion Single Layer Patch, 3x3cm, Thin |
$973.00 |
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CAS040400 |
Cygnus Solotm Amnion Single Layer Patch, 4x4cm, Thin |
$1,330.00 |
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CAS040600 |
Cygnus Solotm Amnion Single Layer Patch, 4x6cm, Thin |
$1,710.00 |
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CAS0401300 |
Cygnus Solotm Amnion Single Layer Patch, 4x8cm, Thin |
$1,976.00 |
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CAS070700 |
Cygnus Solotm Amnion Single Layer Patch, 7x7cm, Thin |
$2,755.00 |
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CAS101000 |
Cygnus Solotm Amnion Single Layer Patch, 10x10cm, Thin |
$4,275.00 |
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CAS121200 |
Cygnus Solotm Amnion Single Layer Patch, 12x12cm, Thin |
$5,700.00 |
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CAS021200 |
Cygnus Solotm Amnion Single Layer Patch, 2x12cm, Thin |
$1,710.00 |
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CAP010100 |
Cygnustm Matrix Amnion Multi-Layer Patch, lxlcm, Medium |
$185.00 |
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CAP020200 |
Cygnustm Matrix Amnion Multi-Layer Patch, 2x2cm, Medium |
$660.00 |
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CAP020300 |
Cygnustm Matrix Amnion Multi-Layer Patch, 2x3cm, Medium |
$807.00 |
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XXX000000 |
Cygnustm Matrix Amnion Multi-Layer Patch, 4x4cm, Medium |
$1,330.00 |
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CAP040600 |
Cygnustm Matrix Amnion Multi-Layer Patch, 4x6cm, Medium |
$1,710.00 |
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CAP040800 |
Cygnustm Matrix Amnion Multi-Layer Patch, 4x8cm, Medium |
$1,976.00 |
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CAM020200 |
CYGNUStm MAX Umbilical Cord Patch 2x2, Thick |
$660 00 |
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CAM020300 |
CYGNUStm MAX Umbilical Cord Patch 2x3, Thick |
$807.00 |
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CAM030300 |
CYGNUStm MAX Umbilical Cord Patch 3x3, Thick |
$973.00 |
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CAM030400 |
CYGNUStm MAX Umbilical Card Patch 3x4, Thick |
$1,135.00 |
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CAM030600 |
CYGNUStm MAX Umbilical Cord Patch 3x6, Thick |
$1,420.00 |
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XXX000000 |
CYGNUStm MAX Umbilical Cord Patch 3x8, Thick |
$1,710.00 |
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BF-01002 |
Small BioDFactor Viable Tissue Matrix (.25ml) |
$475.00 |
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BF-010050 |
Medium BioDFactor Viable Tissue Matrix (.5m1) |
$688.00 |
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BF-01012 |
Large BioDFactor Viable Tissue Matrix (1mI) |
$807.00 |
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BF-010200 |
X-Large BioDFactor Viable Tissue Matrix (2m1) |
$1,895.00 |
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020300HD |
2 cm x 3 cm Decullularized Dermal Allograft |
$769.00 |
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030400HD |
3 cm x 4 cm Decullularized Dermal Allograft |
$1,092.00 |
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040600HD |
4 cm x 6 cm Decullularized Dermal Allograft |
$1,895.00 |
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0851-1060 |
Aspiration Kit (BMA Kit) |
$0.01 |
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8-4358 |
Processing Kit (BMA Kit) |
$1,329.99 |
3
Division: North Texas Division, Inc. d/b/a Medical City Healthcare
Vendor: CPM Medical
Date: January 1, 2018
List of Facilities
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Facility d/b/a |
Address |
City |
State |
Zip |
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Medical City Lewisville |
000 Xxxx XxxxXxxxxx |
Xxxxxxxxxx |
XX |
00000-0000 |
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Medical City ER Lewisville, a department of Medical City Lewisville |
0000 Xxxx Xxxxxxx Xx |
Xxxxxx Xxxxx |
XX |
00000-0000 |
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Medical City Xxxxxx |
0000 Xxxxx 0-00 Xxxx |
Xxxxxx |
IX |
76210-6850 |
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Medical City Dallas |
0000 Xxxxxx Xxxx |
Xxxxxx |
XX |
00000-0000 |
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Medical City ER Park Cities, a department of Medical City Dallas |
0000 X Xxxxxxxxx Xxx |
Xxxxxx |
XX |
00000-0000 |
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Medical City XxXxxxxx |
0000 Xxxxxxx Xxxxxx Xx. |
XxXxxxxx |
XX |
00000-0000 |
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Medical City ER Stonebridge, a department of Medical City McKinney |
0000 X. Xxxxxxxxxx Xx. |
XxXxxxxx |
XX |
00000-0000 |
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Medical City Plano |
0000 Xxxx 00xx Xxxxxx |
Xxxxx |
XX |
00000-0000 |
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Medical City ER Plano, a department of Medical City Plano |
0000 Xxxxx Xxx 000 |
Xxxxx |
XX |
00000-0000 |
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Medical City Fort Worth |
000 Xxxxxx Xxxxxx |
Xx. Xxxxx |
XX |
00000-0000 |
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Medical City XX Xxxxxxxx, a department of Medical City Fort Worth |
000 XX Xxxx Xxxxx Xx |
Xxxxxxxx |
XX |
00000-0000 |
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Medical City Arlington |
0000 Xxxxxxx Xxxx |
Xxxxxxxxx |
XX |
00000-0000 |
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Medical City ER Grand Prairie, a department of Medical City Arlington |
0000 Xxxx Xxxxx Xxxxxxx |
Xxxxx Xxxxxxx |
XX |
00000-0000 |
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Medical City North Hills |
0000 Xxxxx Xxxxxxxx Xx. |
X. Xxxxxxxx Xxxxx |
XX |
00000-0000 |
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Medical City Las Colinas |
0000 Xxxxx XxxXxxxxx Xxxx |
Xxxxxx |
XX |
00000-0000 |
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Medical City Frisco, a Medical City Plano Facility |
0000 Xxxxxx Xxxxxx Xxxx |
Xxxxxx |
XX |
00000-0000 |
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Medical City Alliance |
0000 X. Xxxxxxx Xxxx |
Xx. Xxxxx |
XX |
00000-0000 |
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Medical City ER Saginaw, a department of Medical City Alliance |
000 X Xxxxxx Xxxxxxx Xx |
Xxxxxxx |
XX |
00000 |
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Medical City Green Oaks Hospital |
0000 Xxxxxx Xxxxx Xxxxx |
Xxxxxx |
XX |
00000-0000 |
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Medical City Xxxxxxxxxxx |
000 X. Xxxxxxxx Xx. |
Xxxxxxxxxxx |
XX |
00000 |
