NPI:
1992354591
Provider Name:
NORTH TEXAS PRACTICE MANAGEMENT
Former Legal Business Name: NORTH TEXAS PRACTICE MANAGEMENT, LLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
CLIA Number: 45D2193121
Address:
7222 CRAWFORD RD STE 100
ARGYLE, TX
ZIP 76226
Phone:
(817) 805-1886
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NORTH TEXAS PRACTICE MANAGEMENT is a primary care clinic center in Argyle, TX. NORTH TEXAS PRACTICE MANAGEMENT NPI is 1992354591. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is North Texas Practice Management, Llc.
The provider's business location address is:
7222 CRAWFORD RD STE 100
ARGYLE, TX
ZIP 76226-672
Phone: (817) 805-1886
Fax: (940) 226-4855
The provider's authorized official is Leslie R Rousseau .
The authorized official title is Secretary and has the following contact phone number (817) 805-1886.
The CLIA number assigned to this NPI record is 45D2193121 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/5/2019 and was last updated on 9/1/2020.