Organization · Type 2 NPI
Dsa108 LLC
General Practice Physician · Irving, TX
NPI number
1710374046
Active
Practice location
108 San Gabriel Dr
Irving, TX 75039-3350
Mailing address
825 W Royal Ln, Ste 230
Irving, TX 75039-3601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1710374046
Dsa108 LLC's National Provider Identifier is 1710374046, issued on Apr 24, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Irving, TX. The record was last updated on Apr 24, 2015.