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Organization

WHITE ROCK PULMONARY ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK C. FERRIS M.D. (PRESIDENT)
(214) 328-5487
Entity
Organization

Contact information

Practice address
9330 POPPY DRIVE, SUITE #407, DALLAS, TX 75218-3403
(214) 328-5487
(214) 328-0419
Mailing address
9330 POPPY DRIVE, SUITE #407, DALLAS, TX 75218-3403
(214) 328-5487
(214) 328-0419

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J5758
TX
207RP1001X
Pulmonary Disease Physician
Primary
J5758
TX
207RP1001X
Pulmonary Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079894401
TX
05
115596203
TX
Enumeration date
07/08/2006
Last updated
09/14/2010
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