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Contact Information

PRO PHYSICIANS CLINIC PA
2800 E HIGHWAY 114
SUITE 100
TROPHY CLUB, TX76262-5304
 Phone: 817-886-8730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PRO PHYSICIANS CLINIC PA

NPI Number 1366681702
LBN Legal business name PRO PHYSICIANS CLINIC PA
Authorized official JON TRYGGESTAD - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/09/2009
Last updated 07/27/2009 - About 17 years ago
Identifiers n/a
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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