Provider Demographics
NPI:1720036973
Name:DAROS, VANESSA IRENE (MD)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:IRENE
Last Name:DAROS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8160 WALNUT HILL LN
Mailing Address - Street 2:SUITE 328
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4339
Mailing Address - Country:US
Mailing Address - Phone:214-345-8037
Mailing Address - Fax:214-570-9710
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:SUITE 328
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-345-8037
Practice Address - Fax:214-570-9710
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG0145805OtherTEXAS DPS
TXG0145805OtherTEXAS DPS