Organization
DALLAS ID ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WALKER (PRACTICE ADMINISTRATOR)
(214) 689-7806
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Mailing address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141563001
—
TX
05
—
141563003
—
TX
Enumeration date
07/04/2006
Last updated
06/16/2023
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