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NPI Code Detail

MEDICARE: METROPLEX ENT & ALLERGY PLLC

MEDICARE: METROPLEX ENT & ALLERGY PLLC
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
1207Y00000XOtolaryngology PhysicianM0947TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467968867
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROPLEX ENT & ALLERGY PLLC
Provider Business Mailing Address
First Line : 7200 STATE HIGHWAY 161 STE 220
Second Line :
City : IRVING
State : TX
Zip : 75039-3830
Country : US
Telephone Number : 972-253-4280
Fax Number : 972-739-3304
Provider Business Practice Location Address
First Line : 7200 STATE HIGHWAY 161 STE 220
Second Line :
City : IRVING
State : TX
Zip : 75039-3830
Country : US
Telephone Number : 972-253-4280
Fax Number : 972-739-3304
Authorized Official
Title or Position : OWNER
Name : TIMOTHY SEAN THOMASON
Credential :
Telephone Number : 972-253-4280
Provider Enumeration Date : 12/20/2017
Last Update Date : 05/12/2026

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Directions to “METROPLEX ENT & ALLERGY PLLC ” Practice Location

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