Organization · NPI-2

Cla Physicians Group INC

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Dallas, TX

NPI number1285145532
StatusActive
Last updated in NPPESMar 30, 2022

Details

NPI
1285145532
Entity type
Organization (NPI-2)
Legal business name
Cla Physicians Group INC
Organization subpart
No
Enumeration date
Oct 13, 2017
Certification date
Mar 30, 2022
Last updated
Mar 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)K5159TXYes
2086S0129X K5159TX

Practice location

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146

Phone 972-483-5714 · Fax 469-331-0097

Mailing address

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146

Phone 972-483-5714 · Fax 469-331-0097

Other practice locations

2701 S Hampton Rd Ste 202a
Dallas, TX 75224-2363

Phone 972-483-5714 · Fax 469-331-0097

Authorized official

Joachim Coleman Fiihr
Ceo
4696676122

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