I Town Medical Group LLC
Organization Active NPI Dentist · Dallas, TX
NPI 1124568928 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1124568928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 16359 (TX)
- Legal business name
- I TOWN MEDICAL GROUP LLC
- Practice address
- 2974 LBJ Fwy Ste 301
Dallas, TX 75234-7667 - Phone
- (972) 407-9401
- Fax
- (844) 256-5202
- NPI assigned
- Feb 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Kwon, DDS
- Title
- Owner
- Phone
- (972) 407-9401
National Provider Directory
Locations
2974 LBJ
Ste 301
Dallas, TX 75234
Phone (972) 407-9401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 16359 | TX | Yes |
Addresses
Primary practice location
2974 LBJ Fwy Ste 301
Dallas, TX 75234-7667
Mailing address
2974 LBJ Fwy Ste 301
Dallas, TX 75234-7667
Phone (972) 407-9401
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.