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Specialty details in registry · Garland, TX

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At a glance

1502 Town Bluff St, Garland, TX 75040-5936

NPPES record updated Dec 28, 2016. Public records can lag behind changes at a practice.

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Practice location

1502 Town Bluff St
Garland, TX 75040-5936
Professional details: NPI, taxonomy & registry record
NPI1265977326
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
343900000X
Enumeration date
Dec 28, 2016
Record updated
Dec 28, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1502 Town Bluff St
Garland, TX 75040-5936
Phone
(469) 618-6301
Mailing address
1502 TOWN BLUFF ST

GARLAND, TX 750405936
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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