Pro Physicians Clinic PA
NPI #1366681702 in Trophy Club, Texas
Provider Information
- NPI Number
- 1366681702
- Entity Type
- Organization
- Organization Name
- Pro Physicians Clinic PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRO PHYSICIANS CLINIC PA
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Feb 9, 2009
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 2800 E HIGHWAY 114
- Address 2
- SUITE 100
- City
- Trophy Club
- State
- Texas
- ZIP Code
- 76262-5304
- Phone
- (817) 886-8730
Authorized Official
- Name
- JON D TRYGGESTAD
- Title
- CEO
- Phone
- (817) 886-8730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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