Provider Demographics
NPI:1669744488
Name:PROGRESSIVE INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:PROGRESSIVE INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-868-3209
Mailing Address - Street 1:3332 RICCI LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6575
Mailing Address - Country:US
Mailing Address - Phone:214-868-3209
Mailing Address - Fax:
Practice Address - Street 1:3450 W WHEATLAND RD
Practice Address - Street 2:# 325 -
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3470
Practice Address - Country:US
Practice Address - Phone:214-868-3209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty