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Organization

PRO PHYSICIANS CLINIC PA

Active
Parent organization
PRO PHYSICIANS CLINIC PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRO PHYSICIANS CLINIC PA
Authorized official
JON D TRYGGESTAD (CEO)
(817) 886-8730
Entity
Organization

Contact information

Practice address
2800 E HIGHWAY 114, SUITE 100, TROPHY CLUB, TX 76262-5304
(817) 886-8730
Mailing address
600 E JOHN CARPENTER FWY, SUITE 130, IRVING, TX 75062-3990
(817) 886-8730

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
02/09/2009
Last updated
07/27/2009
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