Provider Demographics
NPI:1063912582
Name:METROPLEX INTENSIVISTS PLLC
Entity type:Organization
Organization Name:METROPLEX INTENSIVISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:DAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-960-5690
Mailing Address - Street 1:6100 W PLANO PKWY STE 3200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8361
Mailing Address - Country:US
Mailing Address - Phone:214-960-5690
Mailing Address - Fax:214-960-5677
Practice Address - Street 1:6100 W PLANO PKWY STE 3200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8361
Practice Address - Country:US
Practice Address - Phone:214-960-5690
Practice Address - Fax:214-960-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty