Provider Demographics
NPI:1467581587
Name:DEBORAH T COMBS CANTRELL, M.D., P.A.
Entity type:Organization
Organization Name:DEBORAH T COMBS CANTRELL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-312-1135
Mailing Address - Street 1:405 STATE HIGHWAY 121 BYP
Mailing Address - Street 2:BUILDING A STE 150
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8214
Mailing Address - Country:US
Mailing Address - Phone:469-312-1130
Mailing Address - Fax:972-459-7221
Practice Address - Street 1:7301 STATE HIGHWAY 161
Practice Address - Street 2:STE 160
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2816
Practice Address - Country:US
Practice Address - Phone:469-312-1130
Practice Address - Fax:972-459-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136311102Medicaid
TX00Y026Medicare PIN