Alexandrova, Daria Ivanova

Alexandrova, Daria Ivanova is an individual health care provider with primary practice located at 2750 W. Northwest Hwy Suite 170, Dallas TX 75220-4783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Alexandrova, Daria Ivanova can be contacted via phone (214) 654-0007.

Contact Information

Primary practice address
2750 W. Northwest Hwy Suite 170 Dallas TX 75220-4783
Fax: (214) 654-9272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K5767 Texas

Profile Details

NPI number 1699864363
LBN Legal business name Alexandrova, Daria Ivanova
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699864363 NPPES
Texas MEDICAID 043243702

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