Organization
ALLIANCE PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LUKE MAGNUSON (C.E.O)
(469) 995-8416
Entity
Organization
Contact information
Practice address
4600 FULLER DR, #275, IRVING, TX 75038-6551
(214) 435-0470
Mailing address
4545 FULLER DR STE 100, IRVING, TX 75038-6509
(469) 995-8416
(866) 279-4704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
05/01/2018
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