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NPI Code Detail

MEDICARE: MULTIGROUP PHYSICIAN PRACTICE OF TEXAS

MEDICARE: MULTIGROUP PHYSICIAN PRACTICE OF TEXAS
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
1207RR0500XRheumatology Physician
2261QI0500XInfusion Therapy Clinic/Center

General Provider Information

NPI Number : 1174953194
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTIGROUP PHYSICIAN PRACTICE OF TEXAS
Provider Business Mailing Address
First Line : 1726 COLE BLVD STE 250
Second Line :
City : LAKEWOOD
State : CO
Zip : 80401-3262
Country : US
Telephone Number : 207-465-5030
Fax Number : 720-465-5040
Provider Business Practice Location Address
First Line : 8144 WALNUT HILL LN STE 1350
Second Line :
City : DALLAS
State : TX
Zip : 75231-4335
Country : US
Telephone Number : 303-384-4000
Fax Number : 720-497-9700
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : SUE ELLEN ROTTURA
Credential :
Telephone Number : 561-323-8987
Provider Enumeration Date : 11/13/2013
Last Update Date : 12/08/2025

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Directions to “MULTIGROUP PHYSICIAN PRACTICE OF TEXAS ” Practice Location

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