MEDICARE: INPATIENT PHYSICIAN ASSOCIATES PLLC

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	207RH0003X	Hematology & Oncology Physician
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CG8267	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285696898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INPATIENT PHYSICIAN ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	9603 WHITE ROCK TRAIL
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75238-5039
Country	:	US
Telephone Number	:	972-644-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 SNIDER PLZ
Second Line	:	SUITE 130
City	:	DALLAS
State	:	TX
Zip	:	75205-5648
Country	:	US
Telephone Number	:	214-696-8033
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MATTHEW DAVIS
Credential	:	MD
Telephone Number	:	214-696-8033

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	02/22/2011

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Directions to “INPATIENT PHYSICIAN ASSOCIATES PLLC ” Practice Location

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