Individual
SHRUTI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 MID CITIES BLVD, HURST, TX 76054-2430
(817) 428-7300
(817) 428-1085
Mailing address
PO BOX 9101, COPPELL, TX 75019-9494
(972) 745-7500
(972) 745-4336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09232
TX
363AM0700X
Medical Physician Assistant
Primary
PA09232
TX
Other
Enumeration date
08/14/2014
Last updated
03/20/2026
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