| Vpa Of Texas Pllc Specialty Int Tx | |
|
4545 Fuller Dr Ste 325 Irving TX 75038-6530 | |
| (972) 870-5511 | |
| (972) 870-5512 |
| Full Name | Vpa Of Texas Pllc Specialty Int Tx |
|---|---|
| Speciality | Family Medicine |
| Location | 4545 Fuller Dr Ste 325, Irving, Texas |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Of Texas Pllc Specialty Int Tx Po Box 639295 Dept 93386 Cincinnati OH 45263-9295 Ph: (972) 870-5511 | Vpa Of Texas Pllc Specialty Int Tx 4545 Fuller Dr Ste 325 Irving TX 75038-6530 Ph: (972) 870-5511 |
| NPI Number | 1942829155 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942829155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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