1053392878 NPI number — NORTH TEXAS ENDOSCOPY PARTNERS LTD.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053392878 NPI number — NORTH TEXAS ENDOSCOPY PARTNERS LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH TEXAS ENDOSCOPY PARTNERS LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053392878
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6405 W PARKER RD
Provider Second Line Business Mailing Address:
SUITE 370
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75093-8143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-473-9292
Provider Business Mailing Address Fax Number:
972-473-9900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2023 W MCDERMOTT DR
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
ALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75013-4676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-781-1482
Provider Business Practice Location Address Fax Number:
972-781-1483
Provider Enumeration Date:
11/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
COPELAND
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
972-473-9292

Provider Taxonomy Codes

  • Taxonomy code: 261QE0800X , with the licence number:  008184 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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