# DAVID S BASTAWROS DPM PA

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

## Provider details

- **NPI number:** 1255510103
- **Authorized official:** DR. DAVID S. BASTAWROS DPM (PRESIDENT)
- **Authorized official phone:** (972) 491-3000

## Contact information

- **Practice address:** 4716 ALLIANCE BLVD STE 150, PLANO, TX 75093-5372
- **Practice address phone:** (469) 814-3630
- **Practice address fax:** (469) 814-3635
- **Mailing address:** PO BOX 261126, PLANO, TX 75026-1126
- **Mailing address phone:** (972) 491-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1459 | TX | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 08/25/2026