| |
6060 N Central Expy, Suite 424, Dallas, TX 75206-5209 | |
(469) 424-1960 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Anesthesiology |
Location | 6060 N Central Expy, Dallas, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295195089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207L00000X | Anesthesiology | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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Po Box 112, Muncie, IN 47308-0112 Ph: (765) 284-0493 | 6060 N Central Expy, Suite 424, Dallas, TX 75206-5209 Ph: (469) 424-1960 |