Healthcare Provider Details

I. General information

NPI: 1619256716
Provider Name (Legal Business Name): NORTH TEXAS VILLAGE HEALTH PARTNERS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 08/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 W SPRING CREEK PKWY STE 175
PLANO TX
75024-4237
US

IV. Provider business mailing address

5425 W SPRING CREEK PKWY STE 200
PLANO TX
75024-4237
US

V. Phone/Fax

Practice location:
  • Phone: 972-801-2144
  • Fax: 972-599-9696
Mailing address:
  • Phone: 972-801-2144
  • Fax: 972-599-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CROW
Title or Position: OWNER/PRESIDENT
Credential: M.D
Phone: 972-599-9600