Organization
MTV IR LAB, LLC
Active
Other names
MTV IR Interventional Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS ALLEN VAN METER MD (PRESIDENT)
(469) 458-9800
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY STE 520, DALLAS, TX 75231-5955
(469) 458-9800
(469) 458-9900
Mailing address
9101 N CENTRAL EXPY STE 520, DALLAS, TX 75231-5955
(469) 458-9800
(469) 458-9900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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