| Alliance Physician Management LLC | |
|
4600 Fuller Dr #275 Irving TX 75038-6551 | |
| (214) 435-0470 | |
| Not Available |
| Full Name | Alliance Physician Management LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 4600 Fuller Dr, Irving, Texas |
| Authorized Official Name and Position | Justin Luke Magnuson (C.E.O) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Physician Management LLC 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 995-8416 | Alliance Physician Management LLC 4600 Fuller Dr #275 Irving TX 75038-6551 Ph: (214) 435-0470 |
| NPI Number | 1679964266 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679964266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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