# DESOTO HEALTHCARE CLINIC LLC

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

## Provider details

- **NPI number:** 1225707342
- **Authorized official:** NAUREEN SALIM FNP (OWNER)
- **Authorized official phone:** (469) 567-9974

## Contact information

- **Practice address:** 860 HEBRON PKWY STE 704, LEWISVILLE, TX 75057-5145
- **Practice address phone:** (214) 777-2703
- **Practice address fax:** (817) 865-1530
- **Mailing address:** 1221 W AIRPORT FWY STE 209, IRVING, TX 75062-6209
- **Mailing address phone:** (469) 567-9974
- **Mailing address fax:** (817) 865-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2021
- **Last updated:** 03/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1881281905 | PRIMARY CARE | TX |