Demopulos, John A

Demopulos, John A is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Ste B216 , Dallas TX 75230. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Legal Medicine is his primary health care specialty. Demopulos, John A can be contacted via phone (972) 566-8380.

Contact Information

Primary practice address
7777 Forest Ln Ste B216 Dallas TX 75230
Phone: (972) 566-8380
Fax: (972) 566-8330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X H8543 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H8543 Texas

Profile Details

NPI number 1043233604
LBN Legal business name Demopulos, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 2nd, 2018 - about 7 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 1043233604 NPPES
Texas Other 00500U MEDICARE ID
Texas MEDICAID 1233587-04 MEDICARE ID

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