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DAVID S BASTAWROS DPM PA NPI 1255510103


NPI Information

NPI: 1255510103
Provider Name: DAVID S BASTAWROS DPM PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4716 ALLIANCE BLVD
STE 300
PLANO, TX
ZIP 75093
Phone: (469) 814-3480
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DAVID S BASTAWROS DPM PA is a foot and ankle surgery podiatrist in Plano, TX. DAVID S BASTAWROS DPM PA NPI is 1255510103. The provider is registered as an organization entity type.

The provider's business location address is:

4716 ALLIANCE BLVD
STE 300
PLANO, TX
ZIP 75093-371
Phone: (469) 814-3480
Fax: (469) 814-3490

The provider's authorized official is David S. Bastawros .
The authorized official title is President and has the following contact phone number (972) 491-3000.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 9/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricNo
2213ES0103XPodiatristFoot & Ankle Surgery1459TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DO2358OTHERTEXASMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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