Medical Clinic of North Texas, Pllc

NPI #1538117742 in Irving, Texas

Provider Information

NPI Number: 1538117742
Entity Type: Organization
Organization Name: Medical Clinic of North Texas, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL CLINIC OF NORTH TEXAS, PLLC
Primary Specialty: Internal Medicine
Enumeration Date: May 4, 2006
Last Updated: Nov 8, 2016

Practice Location

Address: 6750 N. MACARTHUR BLVD
Address 2: SUITE 350
City: Irving
State: Texas
ZIP Code: 75039-2694
Phone: (972) 847-0712

Authorized Official

Name: MR. MICHAEL W BUKOSKY
Title: PRESIDENT PPM
Phone: (972) 847-0712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Urology	208800000X
Internal Medicine	207R00000X	Primary

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