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Organization
PHYSICIANS AND ALLIED HEALTH PROFESSIONALS GROUP, PA
Active
Organization
PHYSICIANS AND ALLIED HEALTH PROFESSIONALS GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY M. HEIGHTEN M.D. (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
12700 PARK CENTRAL DR, STE 900, DALLAS, TX 75251-1500
(214) 860-6053
(469) 854-0738
Mailing address
12700 PARK CENTRAL DR, STE 900, DALLAS, TX 75251-1500
(214) 860-6053
(469) 854-0738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046AZ
BCBS
TX
05
—
109379103
—
TX
05
—
109379104
—
TX
05
—
200016270A
—
OK
05
—
79506232
—
NM
Enumeration date
05/18/2006
Last updated
01/13/2012
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