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Preston Ivey
NPI 1124627682 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6001 Summerside Dr Ste 202
Dallas, TX 75252 - Phone
- (972) 985-1100
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas