LARRY POLINER, MD, PA
Osteopathic Medicine at Forest Ln, Dallas, TX

License number
Texas E5206
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: LAWRENCE R POLINER MD
Title: PRESIDENT
Phone: (972) 566-8477
Address
Address
7777 Forest Ln STE C600, Dallas, TX 75230
National Provider ID: 1649451014
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LARRY POLINER, M.D. PA

7777 Frst Ln STE C600, Dallas, TX 75230

Industry:
Medical Doctor's Office
Doing business as:
Larry Poliner, M.D. PA
Registration:
Jun 9, 1997
State ID:
0081812303
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Larry Poliner (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Lawrence R Poliner,7777 Frst Ln SUITE C600, Dallas, TX 75230 (Physical)
TIN:
32036009705

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