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Organization
MTV IR LAB, LLC
Active
Organization
MTV IR LAB, LLC
Active
Other names
MTV IR Interventional Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS ALLEN VAN METER MD (PRESIDENT)
(469) 458-9800
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY STE 520, DALLAS, TX 75231-5955
(469) 458-9800
(469) 458-9900
Mailing address
9101 N CENTRAL EXPY STE 520, DALLAS, TX 75231-5955
(469) 458-9800
(469) 458-9900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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