Cdpt Ii Pc
Specialty details in registry · Dallas, TX
At a glance
17194 Preston Rd Ste 160, Dallas, TX 75248-1221
NPPES record updated Nov 17, 2017. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.
Practice location
17194 Preston Rd Ste 160Dallas, TX 75248-1221
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223P0221X
- Enumeration date
- Nov 17, 2017
- Record updated
- Nov 17, 2017
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
1223P0221X · Primary
License reported: 29183 TX
Specialty details in registry
1223X0400X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
17194 Preston Rd Ste 160Dallas, TX 75248-1221
- Phone
- (214) 453-2565
Mailing address
17194 PRESTON RD STE 160DALLAS, TX 752481221
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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