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Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES, PLLC
Active
Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHAWN BRONKE (MANAGER, PROVIDER ENROLLMENT)
(469) 909-6746
Entity
Organization
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(972) 715-3800
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2019
Last updated
09/01/2026
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