DO NOT USE

IRVING, TX
NPI1043491467
Entity TypeOrganization
Authorized ContactJODI KRUSELY
Account Manager
847-838-3832
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2007-11-15
Last Update Date2008-01-31
Business Address
DO NOT USE
1706 W IRVING BLVD
IRVING, TX 75061-7137
Phone number: 972-254-1474
Mailing Address
DO NOT USE
1231 GREENWAY DR SUITE 120
IRVING, TX 75038-2533
Phone number: 972-580-7700
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