Organization
GENESIS MEDICAL ASSOCIATES, LLP
Active
Organization
GENESIS MEDICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM PHAYRE (EXECUTIVE DIRECTOR)
(972) 419-0011
Entity
Organization
Contact information
Practice address
12201 MERIT DR, SUITE 350, DALLAS, TX 75251-2213
(972) 419-0011
(972) 239-3809
Mailing address
12201 MERIT DR, SUITE 350, DALLAS, TX 75251-2213
(972) 419-0011
(972) 239-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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