Organization · Type 2 NPI
Desoto Healthcare Clinic LLC
Primary Care Nurse Practitioner · Lewisville, TX
NPI number
1225707342
Active
Practice location
860 Hebron Pkwy Ste 704
Lewisville, TX 75057-5145
Fax (817) 865-1530
Mailing address
1221 W Airport Fwy Ste 209
Irving, TX 75062-6209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1225707342
Desoto Healthcare Clinic LLC's National Provider Identifier is 1225707342, issued on Sep 10, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lewisville, TX. The record was last updated on Mar 25, 2026.