Organization Name: | CHS TEXAS MEDICAL, PA |
NPI Number: | 1730446832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART CLARK (EXECUTIVE VP) |
Mailing Address: | 8711 Freeport Pkwy Irving |
State: | TX US |
Postal Code: | 750632578 |
Phone Number: | 9729157700 |
Fax Number: | 9729155665 |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |