Organization
IRVING COPPELL EAR, NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLAINE L CONANT (BUSINESS MANAGER)
(972) 402-8404
Entity
Organization
Contact information
Practice address
400 W IH 635 FWY, SUITE 360, IRVING, TX 75063-3707
(972) 402-8404
(972) 402-9301
Mailing address
400 W IH 635 FWY, SUITE 360, IRVING, TX 75063-3707
(972) 402-8404
(972) 402-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G3844
TX
Other
Enumeration date
08/15/2007
Last updated
11/11/2020
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