Organization
ICS TRANSITIONAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR ZENAROSA (AUTHORIZED OFFICIAL)
(469) 420-5527
Entity
Organization
Contact information
Practice address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
Mailing address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
(469) 420-5527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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