Organization
INTERNAL MEDICINE ASSOCIATES OF SOUTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY ESTRADA (BILLING MANAGER)
(214) 597-0195
Entity
Organization
Contact information
Practice address
7800 OAKMONT BLVD, FT WORTH, TX 76132-4203
(917) 680-9728
Mailing address
6909 VISTA RIDGE CT, FORT WORTH, TX 76132-4553
(214) 597-0195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N3283
TX
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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