Individual
MICAELA DARTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4101 MCEWEN RD, STE 625, DALLAS, TX 75244-5112
(214) 221-9116
(214) 219-1120
Mailing address
2500 MAYWOOD LN, MCKINNEY, TX 75070-4393
(214) 725-9663
(972) 548-1079
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011AW
BLUE SHIELD
TX
05
—
130986606
—
TX
01
—
P00606710
RAILROAD MEDICARE
TX
Enumeration date
10/24/2006
Last updated
07/11/2017
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