Organization Name: | PRO PHYSICIANS CLINIC PA |
NPI Number: | 1366681702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON D TRYGGESTAD (CEO) |
Mailing Address: | 2800 E Highway 114 Suite 100 Trophy Club |
State: | TX US |
Postal Code: | 762625304 |
Phone Number: | 8178868730 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |