HEALTHTEXAS-MED PROVIDER

NPI: 1992700512 · Organization · Active

Primary Specialty

Internal Medicine Physician
Internal Medicine

Practice Location

3417 GASTON AVE
SUITE 1000
DALLAS, TX 75246-2016 Map ↗
Phone: 469-800-9000
Fax: 469-800-9010

All Specialties & Licenses

  • Internal Medicine Physician Primary (license: 00T27E, TX)

NPI Registration

Enumerated: 2005-06-20

Last CMS Update: 2017-04-20