Organization
DAPHNE L FAVROTH MD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAPHNE LOUISE FAVROTH MD (OWNER)
(972) 669-8400
Entity
Organization
Contact information
Practice address
551 N PLANO RD, RICHARDSON, TX 75081-2940
(972) 669-8400
(972) 235-0033
Mailing address
551 N PLANO RD, RICHARDSON, TX 75081-2940
(972) 669-8400
(972) 235-0033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
019205
LA
207R00000X
Internal Medicine Physician
Primary
H9074
TX
208000000X
Pediatrics Physician
019205
LA
208000000X
Pediatrics Physician
H9074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179396001
—
TX
Enumeration date
06/22/2007
Last updated
03/17/2014
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