Provider Demographics
NPI:1760728588
Name:SINUS REGISTRY, PLLC
Entity Type:Organization
Organization Name:SINUS REGISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FORD
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALBRITTON
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:214-345-5702
Mailing Address - Street 1:3112 GREENBRIER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4602
Mailing Address - Country:US
Mailing Address - Phone:214-345-5702
Mailing Address - Fax:
Practice Address - Street 1:3112 GREENBRIER DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4602
Practice Address - Country:US
Practice Address - Phone:214-345-5702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty