Cwida INC

NPI #1144567637 in Addison, Texas

Provider Information

NPI Number: 1144567637
Entity Type: Organization
Organization Name: Cwida INC
Primary Specialty: Specialist
Enumeration Date: Jan 3, 2013
Last Updated: Jan 3, 2013

Practice Location

Address: 15800 DOOLEY RD
Address 2: SUITE 100
City: Addison
State: Texas
ZIP Code: 75001-4284
Phone: (972) 239-3849

Authorized Official

Name: DR. MARVIN F FOJTASEK, M.D.
Title: PRESIDENT
Phone: (972) 239-3849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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