Organization
DASILVA PHYSICAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID GHALAMBOR MD (PARTNER)
(773) 425-4468
Entity
Organization
Contact information
Practice address
363 W MAIN ST, LEWISVILLE, TX 75057-3867
(972) 436-4434
Mailing address
14908 DEVONSHIRE LN, FRISCO, TX 75035-0648
(773) 425-4468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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