Organization
MEDCO PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY SHAHRI (MANAGING MEMBER)
(469) 392-4000
Entity
Organization
Contact information
Practice address
3960 LEGACY DR, PLANO, TX 75023-8319
(469) 392-4000
Mailing address
PO BOX 232398, ENCINITAS, CA 92023-2398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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