Citywide I D Associates, INC

NPI #1982906244 in Addison, Texas

Provider Information

NPI Number: 1982906244
Entity Type: Organization
Organization Name: Citywide I D Associates, INC
Primary Specialty: Specialist
Enumeration Date: Nov 18, 2010
Last Updated: Oct 11, 2011

Practice Location

Address: 15800 DOOLEY RD
Address 2: SUITE 100
City: Addison
State: Texas
ZIP Code: 75001-4284
Phone: (972) 239-3849

Authorized Official

Name: DR. ALLEN G REUBEN, M.D.
Title: PRESIDENT
Phone: (214) 282-7692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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