Provider Demographics
NPI:1518407956
Name:NORTH TEXAS SINUS, P.A.
Entity Type:Organization
Organization Name:NORTH TEXAS SINUS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAVILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-542-0627
Mailing Address - Street 1:1441 REDBUD BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3271
Mailing Address - Country:US
Mailing Address - Phone:972-542-0627
Mailing Address - Fax:
Practice Address - Street 1:1441 REDBUD BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3271
Practice Address - Country:US
Practice Address - Phone:972-542-0627
Practice Address - Fax:972-542-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-05
Last Update Date:2017-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8508207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty