# MYDAS PA

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

## Provider details

- **NPI number:** 1508296583
- **Authorized official:** NESTOR ZENAROSA MD (PRESIDENT)
- **Authorized official phone:** (469) 420-5527

## Contact information

- **Practice address:** 1500 S MAIN ST, FT WORTH, TX 76104
- **Practice address phone:** (817) 702-3431
- **Mailing address:** PO BOX 650823, DALLAS, TX 75265-0823
- **Mailing address phone:** (469) 420-5527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 11/01/2021