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Advanced Endoscopy Consultants PLLC

Internal Medicine in Irving, TX. Organization (NPI-2).

NPI number1861913238
StatusActive
Last updated in NPPESMar 24, 2020

Details

NPI
1861913238
Entity type
Organization (NPI-2)
Legal business name
Advanced Endoscopy Consultants PLLC
Organization subpart
No
Enumeration date
Jul 6, 2017
Certification date
Mar 24, 2020
Last updated
Mar 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineK0655TXYes

Practice location

6500 Sierra Dr # 170
Irving, TX 75039-2480

Phone 972-884-4030 · Fax 972-884-4031

Mailing address

Po Box 674431
Dallas, TX 75267-4431

Phone 972-616-4000

Authorized official

James Steven Burdick
Owner
9728844030

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