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Organization
NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA
Active
Organization
NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES 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
9229 LYNDON B JOHNSON FWY, SUITE 250, DALLAS, TX 75243-3405
(972) 739-3097
(972) 739-2673
Mailing address
9229 LYNDON B JOHNSON FWY, SUITE 250, DALLAS, TX 75243-3405
(972) 739-3097
(972) 739-2673
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042LC
BCBS
TX
05
—
166046601
—
TX
Enumeration date
07/08/2006
Last updated
06/10/2008
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