Organization
AZURITE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN E IRVING RMA. NCT (OWNER)
(469) 269-2424
Entity
Organization
Contact information
Practice address
3569 PORTLAND ST, SUITE 1033, IRVING, TX 75062-2952
(469) 269-2424
(972) 638-8612
Mailing address
3569 PORTLAND ST, SUITE 1033, IRVING, TX 75062-2952
(469) 269-2424
(972) 638-8612
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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