is a Specialist in Dallas, Texas. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1306003074. The last update date is .
's current location address is 1151 N Buckner Blvd, Dallas, Texas. You can contact this provider via phone number 9722704800 and fax number 2143671153. The mailing address for is 1151 N Buckner Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1151 N Buckner Blvd, Dallas, Texas |
| Phone Number | 9722704800 |
| Fax Number | 2143671153 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306003074 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1151 N Buckner Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752183426 |
| Phone Number | 9722704800 |
| Fax Number | 2143671153 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | J1859 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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