Organization
GENECOV PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA W GENECOV MD (OWNER)
(972) 566-8466
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE B326, DALLAS, TX 75230-2505
(972) 566-8466
(972) 566-8329
Mailing address
7777 FOREST LN, SUITE B326, DALLAS, TX 75230-2505
(972) 566-8466
(972) 566-8329
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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