Individual
CRISANTO G DIMAFELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15810 MIDWAY ROAD, ADDISON, TX 75001
(972) 458-8111
(972) 458-7776
Mailing address
1041 GRIMES DRIVE, FORNEY, TX 75126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2606
TX
Other
Enumeration date
06/01/2006
Last updated
02/26/2019
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