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Organization

EAR NOSE & THROAT CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDA VISHER-WEST DO (PHYSICIAN/SECRETARY OF PA)
(214) 330-7028
Entity
Organization

Contact information

Practice address
2448 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-7028
(214) 330-8497
Mailing address
2448 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-7028
(214) 330-8497

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
H2880
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083275001
TX
Enumeration date
08/30/2006
Last updated
03/04/2020
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