Organization · Type 2 NPI
Do Not Use
Primary Care Clinic/Center · Irving, TX
NPI number
1043491467
Active
Practice location
1706 W Irving Blvd
Irving, TX 75061-7137
Fax (972) 259-3037
Mailing address
1231 Greenway Dr, Suite 120
Irving, TX 75038-2533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1043491467
Do Not Use's National Provider Identifier is 1043491467, issued on Nov 15, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Irving, TX. The record was last updated on Jan 31, 2008.