Provider Demographics
NPI:1548894629
Name:MEDFIRST TEXAS PLLC
Entity type:Organization
Organization Name:MEDFIRST TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:214-206-1796
Mailing Address - Street 1:2940 N O CONNOR RD STE 129
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8808
Mailing Address - Country:US
Mailing Address - Phone:214-206-1796
Mailing Address - Fax:214-279-5601
Practice Address - Street 1:2940 N O CONNOR RD STE 129
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8808
Practice Address - Country:US
Practice Address - Phone:214-206-1796
Practice Address - Fax:214-279-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center