Iari
Clinic/Center, Medical Specialty in Dallas, TX. Organization (NPI-2).
NPI number1164061644
StatusActive
Last updated in NPPESJun 1, 2020
Details
- NPI
- 1164061644
- Entity type
- Organization (NPI-2)
- Legal business name
- Iari
- Organization subpart
- No
- Enumeration date
- Dec 31, 2019
- Certification date
- Jun 1, 2020
- Last updated
- Jun 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
12606 Greenville Ave Ste 190bDallas, TX 75243-1921
Phone 972-945-0234
Mailing address
Po Box 797912Dallas, TX 75379-7912
Phone 214-390-7697 · Fax 972-432-6692
Authorized official
Erin Price
Administrator
2144509926
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