Provider Demographics
NPI:1548478514
Name:NORTH TEXAS INTERNISTS, P.A.
Entity type:Organization
Organization Name:NORTH TEXAS INTERNISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:WIGGANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-368-6424
Mailing Address - Street 1:8335 WALNUT HILL LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4216
Mailing Address - Country:US
Mailing Address - Phone:214-368-6424
Mailing Address - Fax:214-360-9012
Practice Address - Street 1:8335 WALNUT HILL LN
Practice Address - Street 2:SUITE 105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4216
Practice Address - Country:US
Practice Address - Phone:214-368-6424
Practice Address - Fax:214-360-9012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00TS17Medicare ID - Type Unspecified