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Azurite Medical

Clinic/Center, Corporate Health in Irving, TX. Organization (NPI-2).

NPI number1295084572
StatusActive
Last updated in NPPESSep 3, 2012

Details

NPI
1295084572
Entity type
Organization (NPI-2)
Legal business name
Azurite Medical
Organization subpart
No
Enumeration date
Sep 3, 2012
Last updated
Sep 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QC1800X Clinic/Center, Corporate Health––Yes

Practice location

3569 Portland St
Suite 1033
Irving, TX 75062-2952

Phone 469-269-2424 · Fax 972-638-8612

Mailing address

3569 Portland St
Suite 1033
Irving, TX 75062-2952

Phone 469-269-2424 · Fax 972-638-8612

Authorized official

Steven E Irving
Owner
4692692424

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