Provider Demographics
NPI:1871536094
Name:DFW MEDICAL ASSOCIATES, P.A.
Entity type:Organization
Organization Name:DFW MEDICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYISCIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:I
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-385-9898
Mailing Address - Street 1:PO BOX 631148
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0013
Mailing Address - Country:US
Mailing Address - Phone:972-385-9898
Mailing Address - Fax:888-770-6360
Practice Address - Street 1:8501 N MACARTHUR BLVD # 1148
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4100
Practice Address - Country:US
Practice Address - Phone:972-385-9898
Practice Address - Fax:888-770-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162945301Medicaid
TX0053KUOtherBCBS
DG4200OtherMEDICARE RAILROAD
TX00751VMedicare PIN