Provider Demographics
NPI:1437387362
Name:NORTH TEXAS PHYSICIAN ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS PHYSICIAN ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-938-4434
Mailing Address - Street 1:333 N SHILOH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6613
Mailing Address - Country:US
Mailing Address - Phone:972-487-8880
Mailing Address - Fax:866-288-3708
Practice Address - Street 1:333 N SHILOH RD STE 102
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6613
Practice Address - Country:US
Practice Address - Phone:972-487-8880
Practice Address - Fax:866-288-3708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty