Provider Demographics
NPI:1396898219
Name:NORTH TEXAS JOINT CARE, P.A.
Entity type:Organization
Organization Name:NORTH TEXAS JOINT CARE, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CELL & MOL BIO
Authorized Official - Phone:972-566-2234
Mailing Address - Street 1:7777 FOREST LANE
Mailing Address - Street 2:SUITE C-610
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2548
Mailing Address - Country:US
Mailing Address - Phone:972-566-2234
Mailing Address - Fax:972-566-6611
Practice Address - Street 1:7777 FOREST LANE
Practice Address - Street 2:SUITE C-610
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2548
Practice Address - Country:US
Practice Address - Phone:972-566-2234
Practice Address - Fax:972-566-6611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6868207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T97CMedicare PIN