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DALLAS GERIATRICS ASSOCIATES P.A NPI 1629258058


NPI Information

NPI: 1629258058
Provider Name: DALLAS GERIATRICS ASSOCIATES, P.A
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4200 SHEPHERD LN
BALCH SPRINGS, TX
ZIP 75180
Phone: (214) 325-1969
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DALLAS GERIATRICS ASSOCIATES, P.A is a geriatric medicine family medicine in Balch Springs, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DALLAS GERIATRICS ASSOCIATES, P.A NPI is 1629258058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4200 SHEPHERD LN
BALCH SPRINGS, TX
ZIP 75180-423
Phone: (214) 325-1969
Fax: (972) 291-0019

The provider's authorized official is Jyotsna S Prasad .
The authorized official title is President and has the following contact phone number (972) 900-0747.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 8/4/2022.


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
1207QG0300XFamily MedicineGeriatric MedicineJ6213TEXASNo
2207QG0300XFamily MedicineGeriatric MedicineYes

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
100Y540OTHERTEXASGROUP PTAN/ DALLAS COUNTY
2H75575OTHERTEXASMEDICARE UPIN
3L5100OTHERTEXASTEXAS MEDICAL LICENSE #
400Y542OTHERTEXASGROUP PTAN/ TARRANT COUNTY
500Y541OTHERTEXASGROUP PTAN/ ELLIS & TARRANT COUNTY

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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