Provider Demographics
NPI:1477650836
Name:NORTH DALLAS PATIENT CARE, P.A.
Entity Type:Organization
Organization Name:NORTH DALLAS PATIENT CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:YAGNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-221-3500
Mailing Address - Street 1:5930 W PARKER ROAD
Mailing Address - Street 2:SUITE #900
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6427
Mailing Address - Country:US
Mailing Address - Phone:972-403-1122
Mailing Address - Fax:214-221-5400
Practice Address - Street 1:5930 W PARKER ROAD
Practice Address - Street 2:SUITE #900
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6427
Practice Address - Country:US
Practice Address - Phone:972-403-1122
Practice Address - Fax:214-221-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDE1145OtherRAILROAD MEDICARE
TX181678701Medicaid
TX181678701Medicaid