NORTHPOINT RADIATION CENTER GP LLC NPI 1700922903

NPI Information

NPI: 1700922903
Provider Name: NORTHPOINT RADIATION CENTER GP LLC

Former Legal Business Name: NORTHPOINT RADIATION DALLAS GP LLC

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
12606 GREENVILLE AVE
STE 160
DALLAS, TX
ZIP 75243
Phone: (469) 364-7880
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NORTHPOINT RADIATION CENTER GP LLC is an oncology and radiation clinic center in Dallas, TX. NORTHPOINT RADIATION CENTER GP LLC NPI is 1700922903. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Northpoint Radiation Dallas Gp Llc.

The provider's business location address is:

12606 GREENVILLE AVE
STE 160
DALLAS, TX
ZIP 75243-921
Phone: (469) 364-7880
Fax: (469) 364-7834

The provider's authorized official is Jon D Tryggestad .
The authorized official title is Owner and has the following contact phone number (972) 383-1215.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/26/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	C6152	ARKANSAS	No
2	261QX0203X	Clinic/Center	Oncology, Radiation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	612753	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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