# POLINA KALOYANOVA MD PA

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

## Provider details

- **NPI number:** 1518146935
- **Authorized official:** POLINA F KALOYANOVA (PRESIDENT)
- **Authorized official phone:** (469) 694-8777

## Contact information

- **Practice address:** 7777 FOREST LN STE C206, DALLAS, TX 75230-6834
- **Practice address phone:** (469) 694-8777
- **Practice address fax:** (469) 405-7111
- **Mailing address:** 7777 FOREST LN STE C206, DALLAS, TX 75230-6834
- **Mailing address phone:** (469) 694-8777
- **Mailing address fax:** (469) 405-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 09/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 192891301 | MEDICAID GROUP | TX |
| 05 | — | 192892101 | — | TX |