Provider Demographics
NPI:1629521414
Name:NTX GERIATRICS LLC
Entity Type:Organization
Organization Name:NTX GERIATRICS LLC
Other - Org Name:NORTH TEXAS GERIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELITERE-BLESSING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-724-4677
Mailing Address - Street 1:3013 W SPRING CREEK PKWY
Mailing Address - Street 2:#400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-3953
Mailing Address - Country:US
Mailing Address - Phone:469-724-4677
Mailing Address - Fax:972-730-9344
Practice Address - Street 1:3013 W SPRING CREEK PKWY
Practice Address - Street 2:#400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-3953
Practice Address - Country:US
Practice Address - Phone:469-724-4677
Practice Address - Fax:972-730-9344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty