Provider Demographics
NPI:1104168897
Name:RITZ MEDICAL CENTER LLC
Entity type:Organization
Organization Name:RITZ MEDICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-492-3600
Mailing Address - Street 1:3648 OLD DENTON RD
Mailing Address - Street 2:110
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-7978
Mailing Address - Country:US
Mailing Address - Phone:972-492-3600
Mailing Address - Fax:
Practice Address - Street 1:3648 OLD DENTON RD
Practice Address - Street 2:110
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-7978
Practice Address - Country:US
Practice Address - Phone:972-492-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty