MEDICARE: TEXAS VESTIBULAR DIAGNOSTICS

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	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1497951321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS VESTIBULAR DIAGNOSTICS

Provider Business Mailing Address
First Line	:	12800 PRESTON RD STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1366
Country	:	US
Telephone Number	:	972-503-2780
Fax Number	:

Provider Business Practice Location Address
First Line	:	12800 PRESTON RD STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1366
Country	:	US
Telephone Number	:	972-503-2780
Fax Number	:

Authorized Official
Title or Position	:	ERWIN A. CRUZ M.D.
Name	:	ERWIN A CRUZ
Credential	:	M.D.
Telephone Number	:	972-503-2780

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1952308231 — ERWIN A CRUZ MD
Practice Location Address:

12800 PRESTON RD , STE 101
DALLAS, TX
75230-1366

Practice Phone: 972-503-2780
Practice Fax: 972-503-2783

1104858562 — DR. IOHANN F GONZALEZ D.C.
Practice Location Address:

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1154737385 — WELLNESS VIDA CENTER LLC
Practice Location Address:

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1366848889 — MR. JETT CUTTER ROBERTS M.A., LPC
Practice Location Address:

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75230-1366

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Practice Fax:

1497861785 — DR. PETER FRANKLIN DAVIS M.D.
Practice Location Address:

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1386829356 — DR. LINDSAY OWENS DDS
Practice Location Address:

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Directions to “TEXAS VESTIBULAR DIAGNOSTICS ” Practice Location

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