Organization
DALLAS ORTHOPEDIC ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAWAJA NIMR IKRAM DO (DOCTOR/OWNER)
(469) 404-9488
Entity
Organization
Contact information
Practice address
1102 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(469) 518-7853
(469) 232-9917
Mailing address
10455 N CENTRAL EXPY STE 109-125, DALLAS, TX 75231-2213
(469) 518-7853
(469) 232-9917
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
10814
TX
207X00000X
Orthopaedic Surgery Physician
Primary
P0984
TX
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174604474
INDIVIDUAL NPI FOR DR. KHAWAJA NIMR IKRAM
TX
01
—
P0984
TEXAS LICENSE NUMBER
TX
Enumeration date
09/26/2017
Last updated
04/27/2022
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