Organization
NORTH TEXAS COLON & RECTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN CLIFFORD SIMMONS (OFFICE MANAGER)
(214) 824-1730
Entity
Organization
Contact information
Practice address
3409 WORTH ST, SUITE 600, DALLAS, TX 75246-2029
(214) 824-1730
(214) 821-7756
Mailing address
3701 JUNIUS ST # H015, DALLAS, TX 75246-2026
(214) 824-1730
(214) 821-7756
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
E3321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081510201
—
TX
01
—
CS9237
RAILROAD MEDICARE
TX
Enumeration date
06/20/2006
Last updated
06/10/2014
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