Organization
HEALTHCARE ASSOCIATES OF IRVING, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JAMES LIESVELD FNP-C (NURSE PRACTITIONER)
(972) 258-7499
Entity
Organization
Contact information
Practice address
1110 COTTONWOOD LN, IRVING, TX 75038-6117
(972) 258-7499
Mailing address
1110 COTTONWOOD LN, IRVING, TX 75038-6117
(972) 258-7499
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP128468
TX
Other
Enumeration date
07/18/2015
Last updated
08/24/2016
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