Organization
SOUTHWEST ENT ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ROONEY (PRACTICE MANAGER)
(214) 265-0800
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN, 420, DALLAS, TX 75231-4482
(214) 265-0800
(214) 265-1027
Mailing address
8230 WALNUT HILL LN, 420, DALLAS, TX 75231-4482
(214) 265-0800
(214) 265-1027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T81E
BCBS GROUP NUMBER
TX
Enumeration date
05/16/2006
Last updated
11/06/2008
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