Innovista Provider Group Texas PA

NPI #1144875626 in Irving, Texas

Provider Information

NPI Number: 1144875626
Entity Type: Organization
Organization Name: Innovista Provider Group Texas PA
Subpart: Yes (part of a larger organization)
Parent Organization: INNOVISTA PROVIDER GROUP TEXAS PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 1, 2019
Last Updated: Jun 2, 2025

Practice Location

Address: 6500 N MACARTHUR BLVD
City: Irving
State: Texas
ZIP Code: 75039-2460
Phone: (305) 470-2929

Authorized Official

Name: MIA WILLHITE
Title: COO
Phone: (269) 720-7042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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