# LD WELLNESS PLLC

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

## Provider details

- **NPI number:** 1245723428
- **Authorized official:** DR. LOUIS DEGIRONEMO MD (PRINCIPAL)
- **Authorized official phone:** (315) 796-1087

## Contact information

- **Practice address:** 7331 GASTON AVE STE 219, DALLAS, TX 75214-4131
- **Practice address phone:** (315) 796-1087
- **Mailing address:** 1910 PACIFIC AVE STE 15700, DALLAS, TX 75201-4245
- **Mailing address phone:** (214) 389-0855
- **Mailing address fax:** (214) 389-0859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Q0036 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 06/12/2018