National Provider Identifier Database

ADDISON INTERNAL MEDICINE
Family


Contact Information

ADDISON INTERNAL MEDICINE
17051 DALLAS PKWY STE 150
ADDISON, TX75001-7106
Phone: 972-733-3090
Fax: 972-733-4565
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADDISON INTERNAL MEDICINE

NPI Number 1043695695
Legal business name
LBN
ADDISON INTERNAL MEDICINE
Authorized official TRI NGUYEN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/24/2015
Last updated 07/24/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: AP128604

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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