Integra Specialty Group, Pa

NPI 1164751582 - Clinic/Center - 261QR0401X

NPI Details
NPI 1164751582
Enumeration Date 12/14/2009
Last Updated 12/14/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SPENCER A SPENCER
Position CEO
Phone (972) 263-2424
Fax (972) 263-5545
Practice Location
517 N CARRIER PKWY STE G
GRAND PRAIRIE TX, 75050-5464, US
Phone (972) 263-2424
Fax (972) 263-5545
Business Location
517 N CARRIER PKWY STE G
GRAND PRAIRIE TX, 75050-5464, US
Phone (972) 263-2424
Fax (972) 263-5545
Toxanomy
Taxonomy Code 261QR0401X
License State
License Number
Remove 1164751582 NPI Number
 

According to our database, Integra Specialty Group, Pa NPI is 1164751582, taxonomy code is 261QR0401X Integra Specialty Group, Pa physically located at 517 N Carrier Pkwy Ste G, Grand Prairie TX, 75050-5464. NPI Number 1033115704 has the healthcare provider type.

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1164751582 NPI number is provided on an as is basis without warranty of any kind. 1164751582 is maintained by the National Plan & Provider Enumeration System. The contents of Integra Specialty Group, Pa are for informational purposes only.