Boston Medical Group - Texas, P.a.

NPI #1750708061 in Dallas, Texas

Provider Information

NPI Number: 1750708061
Entity Type: Organization
Organization Name: Boston Medical Group - Texas, P.a.
Primary Specialty: Urology
Enumeration Date: Mar 25, 2014
Last Updated: Jan 31, 2020

Practice Location

Address: 12801 N CENTRAL EXPY STE 1107
City: Dallas
State: Texas
ZIP Code: 75243-1893
Phone: (469) 374-0439

Authorized Official

Name: JOAN SIMPSON
Title: DIRECTOR
Phone: (615) 562-4048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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