Industrial Med Management Of Haltom City, Llc

NPI 1245429505 - Preventive Medicine - 2083P0901X

NPI Details
NPI 1245429505
Enumeration Date 10/23/2007
Last Updated 10/23/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARLA SHARLA
Position CREDENTIALING COORDINATOR
Phone (817) 831-0999
Fax (817) 831-2228
Practice Location
3145 DENTON HWY
HALTOM CITY TX, 76117-3710, US
Phone (817) 831-0999
Fax (817) 831-2228
Business Location
PO BOX 2486
ADDISON TX, 75001-2486, US
Phone
Fax
Toxanomy
Taxonomy Code 2083P0901X
License State
License Number
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According to our database, Industrial Med Management Of Haltom City, Llc NPI is 1245429505, taxonomy code is 2083P0901X Industrial Med Management Of Haltom City, Llc physically located at 3145 Denton Hwy, Haltom City TX, 76117-3710. NPI Number 1033115704 has the healthcare provider type.

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1245429505 NPI number is provided on an as is basis without warranty of any kind. 1245429505 is maintained by the National Plan & Provider Enumeration System. The contents of Industrial Med Management Of Haltom City, Llc are for informational purposes only.