# ID PARTNERS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174075857
- **Authorized official:** DR. DEVAK DESAI MD (OWNER)
- **Authorized official phone:** (817) 539-9091

## Contact information

- **Practice address:** 350 MATLOCK RD STE 201, MANSFIELD, TX 76063
- **Practice address phone:** (817) 539-9091
- **Practice address fax:** (817) 539-9553
- **Mailing address:** 350 MATLOCK RD STE 201, MANSFIELD, TX 76063
- **Mailing address phone:** (817) 539-9091
- **Mailing address fax:** (817) 539-9553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | N1611 | TX | Yes |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2016
- **Last updated:** 03/10/2025