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Organization

ASPEN PHYSICIAN NETWORK, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY R CONAWAY (EXECUTIVE DIRECTOR)
(832) 671-8823
Entity
Organization

Contact information

Practice address
16980 DALLAS PKWY STE 200, DALLAS, TX 75248-1974
(972) 805-8524
Mailing address
16980 DALLAS PKWY STE 200, DALLAS, TX 75248-1974
(972) 805-8524

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
2084N0400X
Neurology Physician
2086S0129X
Vascular Surgery Physician
208800000X
Urology Physician
208C00000X
Colon & Rectal Surgery Physician
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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