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General NPI Number Information
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NPI Number | 1164567129
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Entity Type | Organization
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Legal Business Name | TEXASMD MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8305 WALNUT HILL LN SUITE 140
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City | DALLAS
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State | TX
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Zip | 75231-4217
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Country | US
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Telephone | 214-739-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 3241 PURDUE AVE
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City | DALLAS
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State | TX
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Zip | 75225-7634
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Country | US
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Telephone | 214-739-6100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CYRUS PEIKARI
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Credential | MD
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Telephone | 214-739-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K0537
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License Number State | TX
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