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AVEO MEDICAL GROUP - NORTH TEXAS PLLC NPI 1780179267


NPI Information

NPI: 1780179267
Provider Name: AVEO MEDICAL GROUP - NORTH TEXAS PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 45D2153902

Address:
8600 SKYLINE DR
SUITE 1000
DALLAS, TX
ZIP 75243
Phone: (214) 695-1183
Get Directions

AVEO MEDICAL GROUP - NORTH TEXAS PLLC is a geriatric medicine internal medicine in Dallas, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AVEO MEDICAL GROUP - NORTH TEXAS PLLC NPI is 1780179267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8600 SKYLINE DR
SUITE 1000
DALLAS, TX
ZIP 75243
Phone: (214) 695-1183

The provider's authorized official is Jordan Pastorek .
The authorized official title is Manager and has the following contact phone number (337) 255-7011.

The CLIA number assigned to this NPI record is 45D2153902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 6/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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