Organization
CORPORATE-INDUSTRY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE F HEATH CLU (CEO)
(972) 570-8200
Entity
Organization
Contact information
Practice address
4425 W AIRPORT FWY, SUITE 305, IRVING, TX 75062-5832
(972) 570-8200
(972) 570-8933
Mailing address
4425 W AIRPORT FWY, SUITE 305, IRVING, TX 75062-5832
(972) 570-8200
(972) 570-8933
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
05/18/2007
Last updated
04/25/2014
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