# AZURITE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295084572
- **Authorized official:** MR. STEVEN E IRVING RMA. NCT (OWNER)
- **Authorized official phone:** (469) 269-2424

## Contact information

- **Practice address:** 3569 PORTLAND ST, SUITE 1033, IRVING, TX 75062-2952
- **Practice address phone:** (469) 269-2424
- **Practice address fax:** (972) 638-8612
- **Mailing address:** 3569 PORTLAND ST, SUITE 1033, IRVING, TX 75062-2952
- **Mailing address phone:** (469) 269-2424
- **Mailing address fax:** (972) 638-8612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2012
- **Last updated:** 09/03/2012