White Rock Adult Medicine Assoc PA
Internal Medicine in Dallas, TX. Organization (NPI-2).
NPI number1235200064
StatusActive
Last updated in NPPESNov 16, 2009
Details
- NPI
- 1235200064
- Entity type
- Organization (NPI-2)
- Legal business name
- White Rock Adult Medicine Assoc PA
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Nov 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1130 BeachviewSuite 100
Dallas, TX 75218
Phone 214-321-6485 · Fax 214-324-3187
Mailing address
1130 BeachviewSuite 100
Dallas, TX 75218
Phone 214-321-6485 · Fax 214-324-3187
Authorized official
Thomas Joseph Fitzharris
President
2143216485
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