Organization
TRITON INTEGRATED CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL I DESAI MD (MANAGER)
(817) 917-2015
Entity
Organization
Contact information
Practice address
450 S DENTON TAP RD, 3412, COPPELL, TX 75019-7101
(817) 917-2015
(214) 481-4179
Mailing address
PO BOX 3412, COPPELL, TX 75019-9412
(817) 917-2015
(214) 481-4179
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
L4906
TX
Other
Enumeration date
01/14/2015
Last updated
08/22/2016
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