Organization
DALLAS CENTER FOR PELVIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FEAGINS MD (PRESIDENT)
(972) 792-5700
Entity
Organization
Contact information
Practice address
8160 WALNUT HILL LN, SUITE 001, DALLAS, TX 75231-4339
(214) 360-1535
Mailing address
PO BOX 678327, DALLAS, TX 75267-8327
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061LM
BCBS
TX
01
—
DC8536
MEDICARE RAILROAD
TX
Enumeration date
07/22/2006
Last updated
08/22/2020
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