is a Internal Medicine in Dallas, Texas. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1518124452. The last update date is .
's current location address is Po Box 975341, Dallas, Texas. You can contact this provider via phone number 9727911224. The mailing address for is Po Box 975341, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 975341, Dallas, Texas |
| Phone Number | 9727911224 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518124452 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 975341 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753975341 |
| Phone Number | 9727911224 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | N7348 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350022YLP1 | TX | SAIMS TRAVIS MEDICARE | |
| 350022YLP2 | TX | SAIMS ROT MEDICARE |
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