White Rock Ent Pa in Dallas - Pediatric Otolaryngology

White Rock Ent Pa - NPI 1144382094

White Rock Ent Pa is a Pediatric Otolaryngology in Dallas, Texas. White Rock Ent Pa practices all healthcare services and medical treatments related to Pediatric Otolaryngology. The NPI Number for White Rock Ent Pa is 1144382094. The last update date is 2011-12-05.

White Rock Ent Pa's current location address is 1130 Beachview St, Dallas, Texas. You can contact this provider via phone number 2143240418 and fax number 2143240693. The mailing address for White Rock Ent Pa is 1130 Beachview St, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization White Rock Ent Pa
Address 1130 Beachview St, Dallas, Texas
Phone Number 2143240418
Fax Number 2143240693
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER
Authorized Official Name Lee Augustus Dwight
Credentials M.D.
Telephone Number 2143240418

NPI Number Detail

NPI Number 1144382094
Provider Enumeration Date 2006-12-15
Last Updated Date 2011-12-05

Provider Mailing Address Detail

Address 1130 Beachview St
City Dallas
State Texas (TX)
Post Code 752184624
Phone Number 2143240418
Fax Number 2143240693

Provider's Primary Taxonomy Detail

Speciality Pediatric Otolaryngology
Taxonomy 207Yp0228X
Definition:
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the

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FAQs about White Rock Ent Pa

What is the White Rock Ent Pa's unique identification number?

The White Rock Ent Pa has been assigned the NPI (National Provider Identifier) Number 1144382094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where White Rock Ent Pa is physically located?

The White Rock Ent Pa is physically situated at the following address: 1130 Beachview St, Dallas, TX, 752184624.

What is the area of specialization for White Rock Ent Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for White Rock Ent Pa is Pediatric Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Yp0228X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144382094 to White Rock Ent Pa?

The White Rock Ent Pa received its 1144382094 assignment from the Centers for Medicare & Medicaid Services on 2006-12-15.

When was the information pertaining to White Rock Ent Pa most recently updated or revised?

The details related to White Rock Ent Pa, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-05.

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