Provider Demographics
NPI:1447477468
Name:TEAM HEALTHCARE/DIAGNOSTIC CORPORATION
Entity type:Organization
Organization Name:TEAM HEALTHCARE/DIAGNOSTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-417-5242
Mailing Address - Street 1:3312 WHIFFLETREE
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75086-4062
Mailing Address - Country:US
Mailing Address - Phone:817-417-5242
Mailing Address - Fax:817-468-0661
Practice Address - Street 1:3312 WHIFFLETREE
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75086-4062
Practice Address - Country:US
Practice Address - Phone:817-417-5242
Practice Address - Fax:817-468-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory