Ty Carl Maddox D.O.

NPI 1992871321 - Internal Medicine - 207R00000X

NPI Details
NPI 1992871321
Gender Male
Enumeration Date 11/28/2006
Last Updated 06/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2021 N MACARTHUR BLVD
SUITE 350
IRVING TX, 75061-2219, US
Phone (972) 253-2500
Fax (972) 253-4227
Business Location
2021 N MACARTHUR BLVD
SUITE 150
IRVING TX, 75061-2219, US
Phone (972) 253-2500
Fax (972) 253-4227
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number L5445
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According to our database, Ty Carl Maddox D.O. NPI is 1992871321, taxonomy code is 207R00000X and license number is L5445, license state is located at Texas. Ty Carl Maddox D.O. physically located at 2021 N Macarthur Blvd, Irving TX, 75061-2219. NPI Number Ty Carl Maddox D.O. has the Individual type.

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1992871321 NPI number is provided on an as is basis without warranty of any kind. 1992871321 is maintained by the National Plan & Provider Enumeration System. The contents of Ty Carl Maddox D.O. are for informational purposes only.