Dallas Id Associates, PA

NPI #1891725545 in Grapevine, Texas

Provider Information

NPI Number: 1891725545
Entity Type: Organization
Organization Name: Dallas Id Associates, PA
Primary Specialty: Specialist
Enumeration Date: Jul 4, 2006
Last Updated: Jun 16, 2023

Practice Location

Address: 1600 W COLLEGE ST STE 130
City: Grapevine
State: Texas
ZIP Code: 76051-3575
Phone: (214) 689-7806

Authorized Official

Name: BRIAN WALKER
Title: PRACTICE ADMINISTRATOR
Phone: (214) 689-7806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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