Organization
EAR NOSE & THROAT CENTERS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BERGSTROM (OFFICE MANAGER)
(972) 984-1050
Entity
Organization
Contact information
Practice address
4510 MEDICAL CENTER DR, SUITE 100, MCKINNEY, TX 75069-1650
(972) 984-1050
(972) 984-1376
Mailing address
4510 MEDICAL CENTER DR, SUITE 100, MCKINNEY, TX 75069-1650
(972) 984-1050
(972) 984-1376
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
P0462
TX
Other
Enumeration date
08/24/2011
Last updated
02/14/2013
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