Organization
SOUTHWEST INFECTIOUS DISEASE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAOS C BELLOS M.D. (CEO)
(214) 396-4201
Entity
Organization
Contact information
Practice address
2603 OAK LAWN AVE, SUITE 210, DALLAS, TX 75219-4021
(214) 396-4201
(469) 453-3335
Mailing address
2603 OAK LAWN AVE, SUITE 210, DALLAS, TX 75219-4021
(214) 396-4201
(469) 453-3335
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G2108
TX
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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