Organization · Type 2 NPI

North Texas Id PA

Medical Specialty Clinic/Center · Plano, TX

NPI number 1215386933 Active

Practice location

4517 Southgate Dr
Plano, TX 75024-2138

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XM 8773 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1215386933

North Texas Id PA's National Provider Identifier is 1215386933, issued on Jun 3, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Plano, TX. The record was last updated on Jun 3, 2016.