MEDICARE: DR. ERROL J CANDY M.D.

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	174400000X	Specialist	H4209	TX

General Provider Information

NPI Number	:	1285688473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERROL J CANDY M.D.

Provider Business Mailing Address
First Line	:	8440 WALNUT HILL LN
Second Line	:	SUITE 510
City	:	DALLAS
State	:	TX
Zip	:	75231-3833
Country	:	US
Telephone Number	:	214-345-4406
Fax Number	:	214-345-5543

Provider Business Practice Location Address
First Line	:	8440 WALNUT HILL LN
Second Line	:	SUITE 510
City	:	DALLAS
State	:	TX
Zip	:	75231-3833
Country	:	US
Telephone Number	:	214-345-4406
Fax Number	:	214-345-5543

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/17/2008

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