MEDICARE: NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1205030772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3650 W WHEATLAND RD STE C
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-4409
Country	:	US
Telephone Number	:	972-283-5998
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 W WHEATLAND RD STE C
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-4409
Country	:	US
Telephone Number	:	972-283-5998
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLAY HEIGHTEN
Credential	:	MD
Telephone Number	:	972-739-3001

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	03/24/2008

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