Individual
LUIS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6243 RETAIL RD, DALLAS, TX 75231-7808
(469) 518-5580
(844) 859-8966
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
H0710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K0726
MEDICARE
TX
Enumeration date
03/24/2006
Last updated
02/05/2019
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