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Organization

NORTH TEXAS MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVAN EDWARD DANHOF M.D. (PRESIDENT)
(972) 264-7676
Entity
Organization

Contact information

Practice address
222 SW 2ND ST, SUITE 201, GRAND PRAIRIE, TX 75051-1770
(972) 264-7676
(972) 263-1059
Mailing address
222 SW 2ND ST, SUITE 201, GRAND PRAIRIE, TX 75051-1770
(972) 264-7676
(972) 263-1059

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0103
TX

Other

Enumeration date
01/02/2012
Last updated
06/19/2013
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