Organization
METHODIST TRANSPLANT PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY COLON (DIRECTOR OF BUSINESS OPERATIONS)
(214) 947-4420
Entity
Organization
Contact information
Practice address
1411 N BECKLEY AVE, PAV III STE#268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Mailing address
1411 N BECKLEY AVE, PAV III STE#268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y225
MEDICARE
TX
05
—
156924602
—
TX
Enumeration date
05/16/2006
Last updated
03/16/2010
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