Provider Demographics
NPI:1346444072
Name:DALLAS OTOLARYNGOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:DALLAS OTOLARYNGOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-6684
Mailing Address - Street 1:7777 FOREST LN STE A103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6800
Mailing Address - Country:US
Mailing Address - Phone:972-566-7600
Mailing Address - Fax:972-566-6560
Practice Address - Street 1:7777 FOREST LN STE A103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6800
Practice Address - Country:US
Practice Address - Phone:972-566-7600
Practice Address - Fax:972-566-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8122207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1740238690OtherDR. DANSBY NPI
TX121722601Medicaid
TX131896605Medicaid
TX1124076062OtherDR. PETERS NPI
TX133989704Medicaid
TX1124076062OtherDR. PETERS NPI
TXC20453Medicare UPIN