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NPI Code Detail

MEDICARE: EMBRY HEALTH OF TEXAS, PLLC

MEDICARE: EMBRY HEALTH OF TEXAS, 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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1942976188
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBRY HEALTH OF TEXAS, PLLC
Provider Business Mailing Address
First Line : 3370 N HAYDEN RD STE 123-215
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6632
Country : US
Telephone Number : 480-376-2175
Fax Number :
Provider Business Practice Location Address
First Line : 1999 BRYAN ST STE 900
Second Line :
City : DALLAS
State : TX
Zip : 75201-3140
Country : US
Telephone Number : 480-376-2175
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. RAYMOND EMBRY
Credential :
Telephone Number : 480-376-2175
Provider Enumeration Date : 08/18/2021
Last Update Date : 09/02/2021

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Directions to “EMBRY HEALTH OF TEXAS, PLLC ” Practice Location

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