NPI 1043963317

Centrum Medical Group, PLLC

Organisation General Practice Physician Dallas, TX

Practice location

Address: 2223 S Buckner Blvd, Dallas, TX 75227-8646
Phone: (800) 218-8989
Fax: (786) 558-0242
Mailing address: 9250 NW 36th St STE 420, Doral, FL 33178-2775

Authorised official

Name: Vanessa Victorero
Title: Coo
Phone: (305) 266-2929

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1043963317
Entity type: Organization
NPI issued: 27 Jan 2022
Record last updated: 27 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.