DSA108 LLC (NPI# 1710374046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710374046 |
| Entity Type | Organization |
| Organization Name | DSA108 LLC |
| Practice Address |
108 San Gabriel Dr Irving TX 75039-3350 |
| Mailing Address |
825 W Royal Ln Ste 230 Irving TX 75039-3601 |
| Practice Telephone | 2146207444 |
| Mailing Telephone | 2146207444 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | PRABHAV TELLA (OWNER) |
| Authorized Official Telephone | 2146207444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
108 SAN GABRIEL DR |
| City | IRVING |
| State | TX |
| Zip Code | 75039-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860751 | Sodha Medical Pa | Physical Medicine & Rehabilitation | 108 San Gabriel Dr, Irving, TX 75039-3350 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627569 | Shepcole, Inc. | General Practice | 1431 Greenway Dr Ste 8000, Irving, TX 75038-2448 | 2020-07-30 |
| 1730446832 | Healthworks Med Group of Texas Darlington P A | General Practice | 8701 Freeport Pkwy, Irving, TX 75063-2578 | 2012-04-13 |
| 1861657322 | Jaya Paramesh | General Practice | 10310 Donley Dr, Irving, TX 75063-5363 | 2008-07-24 |
| 1275508848 | Claudia Castano | General Practice | 2000 Esters Rd, Suite 120, Irving, TX 75061-9531 | 2006-02-17 |
| 1982679544 | Hector Oscar Molina | General Practice | 3301 Conflans Rd, 307, Irving, TX 75061-6355 | 2006-02-17 |
| 1538650072 | Mike Thanh Le | General Practice | 5605 N Macarthur Blvd Ste 400, Irving, TX 75038 | 2018-05-21 |
| 1275914640 | Sree-doc Urgent Care Management LLC | General Practice | 8787 N Macarthur Blvd, Suite No 120 B, Irving, TX 75063-5446 | 2015-06-11 |
| 1619373453 | Texas Physicians Specialized Medicine Pllc | General Practice | 3401 W Airport Fwy, Suite 101, Irving, TX 75062-5902 | 2014-11-06 |
| 1629335815 | Claudia Castano, Md, Pa | General Practice | 2000 Esters Rd, 120, Irving, TX 75061-9531 | 2012-04-12 |
| 1558323857 | Molina Medical Management Group.ltd | General Practice | 1901 W Irving Blvd, Suite 100, Irving, TX 75061-6823 | 2006-04-04 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.