Alliance Physician Management LLC
Clinic/Center in Irving, TX. Organization (NPI-2).
NPI number1679964266
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1679964266
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Physician Management LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2015
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4600 Fuller Dr#275
Irving, TX 75038-6551
Phone 214-435-0470
Mailing address
4545 Fuller Dr Ste 100Irving, TX 75038-6509
Phone 469-995-8416 · Fax 866-279-4704
Authorized official
Justin Luke Magnuson
C.E.O
4699958416
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