Organization
DESOTO HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAUREEN SALIM FNP (OWNER)
(469) 567-9974
Entity
Organization
Contact information
Practice address
860 HEBRON PKWY STE 704, LEWISVILLE, TX 75057-5145
(214) 777-2703
(817) 865-1530
Mailing address
1221 W AIRPORT FWY STE 209, IRVING, TX 75062-6209
(469) 567-9974
(817) 865-1530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881281905
PRIMARY CARE
TX
Enumeration date
09/10/2021
Last updated
03/25/2026
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