# IT3 MEDICAL LLC

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

## Provider details

- **NPI number:** 1932630100
- **Authorized official:** BELINDA ACOSTA (BILLING DIRECTOR)
- **Authorized official phone:** (469) 453-0300

## Contact information

- **Practice address:** 7709 SAN JACINTO PL, STE 101 BLDG 3, PLANO, TX 75024-3215
- **Practice address phone:** (469) 453-0300
- **Mailing address:** 190 E STACY RD, STE 306-298, ALLEN, TX 75002-8734
- **Mailing address phone:** (469) 453-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 03/21/2017
