Organization
PRO PHYSICIANS CLINIC PA
Active
Parent organization
PRO PHYSICIANS CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO PHYSICIANS CLINIC PA
Authorized official
JON D TRYGGESTAD (CEO)
(817) 886-8730
Entity
Organization
Contact information
Practice address
920 SANTA FE DR, WEATHERFORD, TX 76086-5864
(817) 886-8730
Mailing address
600 E JOHN CARPENTER FWY, SUITE 130, IRVING, TX 75062-3990
(817) 886-8730
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
07/27/2009
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