# NORTH TEXAS ID PA

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

## Provider details

- **NPI number:** 1255874475
- **Authorized official:** DHIRAJ KOTWAL MD (PHYSICIAN)
- **Authorized official phone:** (214) 396-8877

## Contact information

- **Practice address:** 5350 INDEPENDENCE PKWY STE 120, FRISCO, TX 75035-4637
- **Practice address phone:** (214) 396-8877
- **Practice address fax:** (214) 983-0983
- **Mailing address:** 5350 INDEPENDENCE PKWY STE 120, FRISCO, TX 75035-4637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2016
- **Last updated:** 11/19/2016