Individual
DANIELA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 W DAVIS ST, DALLAS, TX 75208-4954
(469) 372-6200
(469) 372-6203
Mailing address
803 W DAVIS ST, DALLAS, TX 75208-4954
(469) 372-6200
(469) 372-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T7881
TX
Other
Enumeration date
03/25/2019
Last updated
09/07/2023
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