# ID DOCS OF DALLAS PA

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

## Provider details

- **NPI number:** 1962901538
- **Authorized official:** SHEETHAL M LAXMI MN (OWNER)
- **Authorized official phone:** (732) 216-6273

## Contact information

- **Practice address:** 4401 WEST SPRING CREEK PKWY, SUITE 400, PLANO, TX 75021-5331
- **Practice address phone:** (972) 737-8299
- **Mailing address:** 611 OAK GROVE LN, COPPELL, TX 75019-2407
- **Mailing address phone:** (732) 216-6273
- **Mailing address fax:** (469) 969-0048

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2018
- **Last updated:** 04/17/2024