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NPI Code Detail

MEDICARE: LAS COLINAS EAR NOSE THROAT AND ALLERGY PA

MEDICARE: LAS COLINAS EAR NOSE THROAT AND ALLERGY 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
1207Y00000XOtolaryngology PhysicianK8361TX

Other Identifiers

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

General Provider Information

NPI Number : 1396815395
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS COLINAS EAR NOSE THROAT AND ALLERGY PA
Provider Business Mailing Address
First Line : 7449 LAS COLINAS BLVD STE 100
Second Line :
City : IRVING
State : TX
Zip : 75063-7561
Country : US
Telephone Number : 972-432-8282
Fax Number : 972-432-0552
Provider Business Practice Location Address
First Line : 7449 LAS COLINAS BLVD STE 100
Second Line :
City : IRVING
State : TX
Zip : 75063-8047
Country : US
Telephone Number : 972-432-8282
Fax Number : 972-432-0552
Authorized Official
Title or Position : MANAGER
Name : ANGELA MCKAY
Credential :
Telephone Number : 972-432-8282
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/28/2024

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Directions to “LAS COLINAS EAR NOSE THROAT AND ALLERGY PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.