Healthcare Provider Details
I. General information
NPI: 1932997848
Provider Name (Legal Business Name): NORTH VISION MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4001 AIRPORT FWY STE 146
BEDFORD TX
76021-6133
US
IV. Provider business mailing address
4001 AIRPORT FWY STE 146
BEDFORD TX
76021-6133
US
V. Phone/Fax
- Phone: 877-932-1715
- Fax: 877-289-9519
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
RICH
Title or Position: OWNER
Credential: MD
Phone: 214-395-1891