Provider Demographics
NPI:1942412622
Name:NORTH TEXAS INTERNAL MEDICINE ASSOCIATES, L.L.P.
Entity Type:Organization
Organization Name:NORTH TEXAS INTERNAL MEDICINE ASSOCIATES, L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STREFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-828-2889
Mailing Address - Street 1:3600 GASTON AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1803
Mailing Address - Country:US
Mailing Address - Phone:214-828-2889
Mailing Address - Fax:214-828-9530
Practice Address - Street 1:3600 GASTON AVE STE 303
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1803
Practice Address - Country:US
Practice Address - Phone:214-828-2889
Practice Address - Fax:214-828-9530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00L77GMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER