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NPI Code Detail

MEDICARE: TITANS OF INDUSTRY PLLC

MEDICARE: TITANS OF INDUSTRY 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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1457100711
Entity Type Code : Organization
Provider Name (Legal Business Name) : TITANS OF INDUSTRY PLLC
Provider Business Mailing Address
First Line : 14850 QUORUM DR STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75254-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14850 QUORUM DR STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75254-1445
Country : US
Telephone Number : 214-458-4954
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MATT T ROWLEY
Credential : MD
Telephone Number : 214-458-4954
Provider Enumeration Date : 05/17/2024
Last Update Date : 05/17/2024

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Directions to “TITANS OF INDUSTRY PLLC ” Practice Location

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