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Contact Information

CORPORATE-INDUSTRY MEDICAL GROUP
4425 W AIRPORT FWY
SUITE 305
IRVING, TX75062-5832
 Phone: 972-570-8200
 Fax: 972-570-8933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CORPORATE-INDUSTRY MEDICAL GROUP

NPI # 1174731517
LBN Legal business name CORPORATE-INDUSTRY MEDICAL GROUP
Authorized official GEORGE HEATH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 04/25/2014 - About 12 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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