Dsa108 LLC

General Practice Physician · Irving, TX

Organization Active NPI

NPI number 1710374046

Practice location

108 San Gabriel Dr
Irving, TX 75039-3350
Phone
(214) 620-7444

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NPI record

NPI
1710374046
Entity type
Organization (Type 2)
Enumeration date
April 24, 2015
Last updated
April 24, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Mailing address

825 W Royal Ln
Ste 230
Irving, TX 75039-3601
Phone
(214) 620-7444

Authorized official

Name
Prabhav Tella
Title
Owner
Phone
(214) 620-7444

About Dsa108 LLC

Dsa108 LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 108 San Gabriel Dr, Irving, TX 75039-3350. The NPI number 1710374046 was assigned on April 24, 2015 and the record was last updated on April 24, 2015.

The authorized official for this organization is Prabhav Tella, Owner.

Frequently asked questions

What is the NPI number of Dsa108 LLC?

The NPI number is 1710374046.

What is the phone number of Dsa108 LLC?

The phone number listed for the practice location is (214) 620-7444.

Where is Dsa108 LLC located?

108 San Gabriel Dr, Irving, TX 75039-3350.

What is the taxonomy code for Dsa108 LLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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