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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)
(972) 573-4611
Entity
Organization

Contact information

Practice address
7501 LAKEVIEW PKWY, ROWLETT, TX 75088-9322
(972) 475-4999
(972) 475-4422
Mailing address
PO BOX 678234, DALLAS, TX 75267-8234
(972) 475-4999
(972) 475-4422

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
TX

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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