MEDICARE: NORTH TEXAS ACUTE TREATMENT & INFUSION CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1437858313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS ACUTE TREATMENT & INFUSION CENTER

Provider Business Mailing Address
First Line	:	960 RIDGEVIEW DR STE 140-302
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5542
Country	:	US
Telephone Number	:	214-390-7697
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 WARREN PKWY BLDG 8
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7462
Country	:	US
Telephone Number	:	214-390-7697
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	BRYAN M BROWN
Credential	:
Telephone Number	:	214-390-7697

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

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