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General NPI Number Information
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NPI Number | 1548489222
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL GROUP, PA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN SUITE 230
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 972-284-7000
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Fax | 972-284-7001
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Provider Business Mailing Address
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Address Line | PO BOX 679705
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City | DALLAS
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State | TX
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Zip | 75267-9705
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Country | US
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Telephone | 972-284-7000
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Fax | 214-292-8787
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW PHAN
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Credential | MD
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Telephone | 972-284-7000
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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 |
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License Number State |
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