Do Not Use
NPI #1043491467 in Irving, Texas
Provider Information
- NPI Number
- 1043491467
- Entity Type
- Organization
- Organization Name
- Do Not Use
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Jan 31, 2008
Practice Location
Authorized Official
- Name
- JODI KRUSELY
- Title
- ACCOUNT MANAGER
- Phone
- (847) 838-3832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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