Organization · Type 2 NPI
Your Clinic
Primary Care Clinic/Center · Irving, TX
NPI number
1386963965
Active
Practice location
1141 Kinwest Pkwy, Suite 100
Irving, TX 75063-3511
Fax (214) 239-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 532229 (TX) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1386963965
Your Clinic's National Provider Identifier is 1386963965, issued on May 22, 2010. 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 May 22, 2010.