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NPI 1497864490 · live from the CMS NPI Registry

Allan S. Disraeli, M.D., P.A.

Obstetrics & Gynecology, Gynecology in Garland, TX. National Provider Identifier 1497864490, active.

NPI record

NPI1497864490 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location333 N Shiloh Rd, Suite 105, Garland, TX 75042
Practice phone972-272-5458
EnumeratedAugust 30, 2006
Last updatedAugust 22, 2020
Authorized officialAllan Disraeli, Presidemt

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecology primary207VG0400XD3853 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.