Organization
NORTH DALLAS MEDICAL GROUP, PLLC
Active
Other names
InnovareTx Regenerative & Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZENIA C ORTEGA (PRACTICE MANAGER)
(214) 233-3094
Entity
Organization
Contact information
Practice address
16901 DALLAS PKWY STE 206, ADDISON, TX 75001-5214
(214) 233-3094
(214) 241-1167
Mailing address
7224 CANONGATE DR, DALLAS, TX 75248
(241) 244-6171
(972) 733-0991
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02353
TEXAS MEDICAL BOARD
TX
Enumeration date
06/01/2010
Last updated
05/09/2025
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