# SOUTHWEST INFECTIOUS DISEASE, PA

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

## Provider details

- **NPI number:** 1992076491
- **Authorized official:** NICHOLAOS C BELLOS M.D. (CEO)
- **Authorized official phone:** (214) 396-4201

## Contact information

- **Practice address:** 2603 OAK LAWN AVE, SUITE 210, DALLAS, TX 75219-4021
- **Practice address phone:** (214) 396-4201
- **Practice address fax:** (469) 453-3335
- **Mailing address:** 2603 OAK LAWN AVE, SUITE 210, DALLAS, TX 75219-4021
- **Mailing address phone:** (214) 396-4201
- **Mailing address fax:** (469) 453-3335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G2108 | TX | Yes |

## Other

- **Enumeration date:** 01/16/2012
- **Last updated:** 01/16/2012
