Individual
DIMA OTAISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-8409
(817) 987-3955
Mailing address
P.O. BOX 845347, DALLAS, TX 75284
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
036156979
IL
208M00000X
Hospitalist Physician
Primary
U9327
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
07/09/2024
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