Basic Information
| Provider Information | |||||||||
| NPI: | 1841683489 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TEXAS PARTNERS IN MEDICINE PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9720 COIT RD | ||||||||
| Address2: | SUITE 220-323 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750255833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176856050 | ||||||||
| FaxNumber: | 8887706360 | ||||||||
| Practice Location | |||||||||
| Address1: | 431 STACY RD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | FAIRVIEW | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750698741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9723859898 | ||||||||
| FaxNumber: | 8887706360 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2015 | ||||||||
| LastUpdateDate: | 03/24/2015 | ||||||||
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| AuthorizedOfficialLastName: | YOUNAS | ||||||||
| AuthorizedOfficialFirstName: | BABER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9176856050 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | J9311 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.