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
Phone: (214) 654-0007
Fax: (214) 654-9272
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699864363 | NPPES |
Texas | MEDICAID | 043243702 |
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