Organization
DALLAS GERIATRICS ASSOCIATES, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTSNA S PRASAD MD (PRESIDENT)
(972) 393-5234
Entity
Organization
Contact information
Practice address
4200 SHEPHERD LN, BALCH SPRINGS, TX 75180-3423
(214) 325-1969
(702) 977-1496
Mailing address
820 S MACARTHUR BLVD STE 105-392, COPPELL, TX 75019-4216
(972) 900-0747
(972) 393-5234
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
J6213
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y540
GROUP PTAN/ DALLAS COUNTY
TX
01
—
00Y541
GROUP PTAN/ ELLIS & TARRANT COUNTY
TX
01
—
00Y542
GROUP PTAN/ TARRANT COUNTY
TX
01
—
H75575
MEDICARE UPIN
TX
01
—
L5100
TEXAS MEDICAL LICENSE #
TX
Enumeration date
11/14/2007
Last updated
05/15/2026
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