Provider Demographics
NPI:1659555829
Name:CROSS TIMBERS ENT PLLC
Entity Type:Organization
Organization Name:CROSS TIMBERS ENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:PINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-265-7575
Mailing Address - Street 1:1001 N. WALDROP DR.
Mailing Address - Street 2:STE 807
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4715
Mailing Address - Country:US
Mailing Address - Phone:817-261-3000
Mailing Address - Fax:817-274-1516
Practice Address - Street 1:1001 N WALDROP DR
Practice Address - Street 2:STE 807
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4705
Practice Address - Country:US
Practice Address - Phone:817-261-3000
Practice Address - Fax:817-274-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty