Organization
ALLAN S. DISRAELI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN S. DISRAELI M.D. (PRESIDEMT)
(972) 272-5458
Entity
Organization
Contact information
Practice address
333 N SHILOH RD, SUITE 105, GARLAND, TX 75042-6680
(972) 272-5458
Mailing address
333 N SHILOH RD, SUITE 105, GARLAND, TX 75042-6680
(972) 272-5458
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D3853
TX
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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