Individual
DENZIL D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104-4014
(817) 338-1300
(817) 335-9871
Mailing address
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104-4014
(817) 338-1300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H9875
TX
207RI0011X
Interventional Cardiology Physician
Primary
H9875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134395601
—
TX
Enumeration date
12/16/2005
Last updated
02/04/2020
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