Individual
JUSTIN MILES BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
1420 W MOCKINGBIRD LN, STE 420, DALLAS, TX 75247-4973
(214) 820-2361
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S3799
TX
Other
Enumeration date
03/29/2016
Last updated
06/04/2020
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