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Contact Information

WHITE ROCK ADULT MEDICINE ASSOC PA
1130 BEACHVIEW
SUITE 100
DALLAS, TX75218
 Phone: 214-321-6485
 Fax: 214-324-3187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WHITE ROCK ADULT MEDICINE ASSOC PA

NPI Number 1235200064
LBN Legal business name WHITE ROCK ADULT MEDICINE ASSOC PA
Authorized official THOMAS FITZHARRIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 11/16/2009 - About 17 years ago
Identifiers
TX Medicaid 084340101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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