Id Partners PA

NPI #1174075857 in Mansfield, Texas

Provider Information

NPI Number: 1174075857
Entity Type: Organization
Organization Name: Id Partners PA
Primary Specialty: Internal Medicine
Enumeration Date: Oct 28, 2016
Last Updated: Mar 10, 2025

Practice Location

Address: 350 MATLOCK RD STE 201
City: Mansfield
State: Texas
ZIP Code: 76063
Phone: (817) 539-9091

Authorized Official

Name: DR. DEVAK DESAI, MD
Title: OWNER
Phone: (817) 539-9091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Gerontology — Gerontology	363LG0600X

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