| North Texas Medical Associates | |
|
222 Sw 2nd St Suite 201 Grand Prairie TX 75051-1770 | |
| (972) 264-7676 | |
| (972) 263-1059 |
| Full Name | North Texas Medical Associates |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 222 Sw 2nd St, Grand Prairie, Texas |
| Authorized Official Name and Position | Ivan Edward Danhof (PRESIDENT) |
| Authorized Official Contact | 9722647676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Medical Associates 222 Sw 2nd St Suite 201 Grand Prairie TX 75051-1770 Ph: (972) 264-7676 | North Texas Medical Associates 222 Sw 2nd St Suite 201 Grand Prairie TX 75051-1770 Ph: (972) 264-7676 |
| NPI Number | 1215207642 |
|---|---|
| Provider Enumeration Date | 01/02/2012 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215207642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0103 (Texas) | Primary |
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