MEDICARE: MEDPRO TOX

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1902274616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDPRO TOX

Provider Business Mailing Address
First Line	:	500 N VALLEY PKWY STE 111
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067
Country	:	US
Telephone Number	:	468-322-9291
Fax Number	:	469-547-0691

Provider Business Practice Location Address
First Line	:	500 N VALLEY PKWY STE 111
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3479
Country	:	US
Telephone Number	:	468-322-9291
Fax Number	:	469-547-0691

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. ERWIN CRUZ
Credential	:	MD
Telephone Number	:	469-322-9291

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	09/11/2015

Similar Medicare Providers

1952305492 — HORIZON MRI OF LEWISVILLE LLC
Practice Location Address:

500 N VALLEY PKWY , STE 108
LEWISVILLE, TX
75067-3479

Practice Phone: 972-420-6745
Practice Fax: 972-420-6741

1205920741 — GINA MARIE LINN LPT
Practice Location Address:

500 N. VALLEY PARKWAY , SUITE 101
LEWISVILLE, TX
75067-3479

Practice Phone: 972-434-6600
Practice Fax: 972-219-5277

1629521851 — LAXMIDEEPIKA KOYA, M.D.,P.A
Practice Location Address:

500 N VALLEY PKWY , SUITE 111
LEWISVILLE, TX
75067-3479

Practice Phone: 214-888-0670
Practice Fax: 972-221-3917

1164939534 — BINSY EASOW
Practice Location Address:

500 N VALLEY PKWY STE 101
LEWISVILLE, TX
75067-3479

Practice Phone: 972-420-8777
Practice Fax:

1699249383 — KATHERINE TREFF MS, BCBA, LBA
Practice Location Address:

500 N VALLEY PKWY STE 103
LEWISVILLE, TX
75067-3479

Practice Phone: 469-946-8400
Practice Fax:

1821740705 — KIRBIE DERICK
Practice Location Address:

500 N VALLEY PKWY STE 103
LEWISVILLE, TX
75067-3479

Practice Phone: 469-946-8400
Practice Fax:

Directions to “MEDPRO TOX ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.