Search › Texas › 183500000X
My Loi
NPI 1912406695 · on the registry since 2018
Practice
- Address
- 1310 N Cockrell Hill Rd
Dallas, TX 75211 - Phone
- (214) 430-0212
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-07
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