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North Texas Id Pa
Medical Specialty Clinic/Center in Plano, Texas
NPI 1215386933

North Texas Id Pa is a Medical Specialty Clinic/Center based in Plano, TX and is specialized in Medical Specialty. North Texas Id Pa practices in Plano, TX. The NPI Number for North Texas Id Pa is 1215386933 and holds a License No. M 8773 (Texas).

The current practice location address for North Texas Id Pa is 4517 Southgate Dr, Plano, TX and can be reached out via phone at 972-853-7170.

Location: 4517 Southgate Dr, Plano, TX, 75024-2138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215386933
Provider Name
North Texas Id Pa
Credential
Provider Entity Type
Organization
Address
4517 Southgate Dr, Plano, TX, 75024-2138
Phone Number
972-853-7170
Fax Number
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4517 Southgate Dr
City
Plano
State
Texas
Zip
75024-2138
Phone Number
972-853-7170
Fax Number
person
Provider Business Mailing Address Details
Address
4517 Southgate Dr
City
Plano
State
Texas
Zip
75024-2138
Phone Number
972-853-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
M 8773 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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