Individual
DR. DAVID S. BASTAWROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4716 ALLIANCE BLVD STE 300, PLANO, TX 75093-5314
(469) 814-3816
(469) 814-3490
Mailing address
PO BOX 261126, PLANO, TX 75026-1126
(972) 491-3000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00665455
MEDICARE RAILROAD
TX
Enumeration date
06/16/2005
Last updated
12/09/2025
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