Id Partners Pa Valid NPI

Organization · Infectious Disease Physician · Mansfield, TX

NPI

1174075857

Type

Organization (Type 2)

Primary specialty

Infectious Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RI0200X

License number

N1611 (TX)

Enumerated

2016-10-28

Last updated

2025-03-10