Organization
MYDAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR ZENAROSA MD (PRESIDENT)
(469) 420-5527
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, FT WORTH, TX 76104
(817) 702-3431
Mailing address
PO BOX 650823, DALLAS, TX 75265-0823
(469) 420-5527
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/01/2021
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