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MULTIGROUP PHYSICIAN PRACTICE OF TEXAS NPI 1174953194


NPI Information

NPI: 1174953194
Provider Name: MULTIGROUP PHYSICIAN PRACTICE OF TEXAS
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 45D2182349

Address:
8144 WALNUT HILL LN
SUITE 830
DALLAS, TX
ZIP 75231
Phone: (303) 384-4000
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MULTIGROUP PHYSICIAN PRACTICE OF TEXAS is a rheumatology internal medicine in Dallas, TX. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MULTIGROUP PHYSICIAN PRACTICE OF TEXAS NPI is 1174953194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8144 WALNUT HILL LN
SUITE 830
DALLAS, TX
ZIP 75231-388
Phone: (303) 384-4000
Fax: (720) 497-9700

The provider's authorized official is Ken Idicula .
The authorized official title is Director Of Corporate Operations and has the following contact phone number (469) 216-9920.

The CLIA number assigned to this NPI record is 45D2182349 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 6/15/2020.


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
1207RR0500XInternal MedicineRheumatologyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.