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Organization
MEDICAL & SURGICAL CLINIC OF IRVING, P.A.
Active
Organization
MEDICAL & SURGICAL CLINIC OF IRVING, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE HOLLYFIELD (COO)
(972) 253-4208
Entity
Organization
Contact information
Practice address
2021 N MACARTHUR BLVD, SUITE 150, IRVING, TX 75061-2222
(972) 253-4354
(972) 253-4218
Mailing address
2021 N MACARTHUR BLVD, SUITE 150, IRVING, TX 75061-2219
(972) 253-4354
(972) 253-4218
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T158
MEDICARE GROUP PTAN
TX
05
—
111962001
—
TX
Enumeration date
11/20/2006
Last updated
05/31/2016
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