Provider Demographics
NPI:1437858313
Name:NORTH TEXAS ACUTE TREATMENT & INFUSION CENTER
Entity Type:Organization
Organization Name:NORTH TEXAS ACUTE TREATMENT & INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-390-7697
Mailing Address - Street 1:960 RIDGEVIEW DR STE 140-302
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5542
Mailing Address - Country:US
Mailing Address - Phone:214-390-7697
Mailing Address - Fax:
Practice Address - Street 1:5150 WARREN PKWY BLDG 8
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7462
Practice Address - Country:US
Practice Address - Phone:214-390-7697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty