Las Colinas Physical Medicine Pllc

NPI #1578285755 in Irving, Texas

Provider Information

NPI Number: 1578285755
Entity Type: Organization
Organization Name: Las Colinas Physical Medicine Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 14, 2022
Last Updated: Mar 16, 2023

Practice Location

Address: 122 W JOHN CARPENTER FWY STE 105
City: Irving
State: Texas
ZIP Code: 75039-2024
Phone: (972) 378-0383

Authorized Official

Name: MS. GENNIE BUDET
Title: CREDENTIALING DIRECTOR
Phone: (702) 462-9729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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