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NORTH TEXAS ID PA
NPI 1215386933
Clinic/Center - Medical Specialty in Plano, TX

Active since June 03, 2016
4517 SOUTHGATE DR, PLANO, TX 75024(972) 853-7170 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Texas Id Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH TEXAS ID PA (NPI 1215386933) is a healthcare organization registered as a medical specialty in Plano, Texas and active in the NPI registry since June 2016. The organization lists Dhiraj Kotwal, President, as its authorized official.

NPPES Registry Identity

NPI1215386933
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTH TEXAS ID PA
Location Address4517 SOUTHGATE DRPlano, TX 75024-2138
Mailing Address4517 Southgate DrPlano, TX 75024-2138 · (972) 853-7170
Phone(972) 853-7170
Organization SubpartNo
Authorized OfficialDhiraj KotwalPresident · (972) 853-7170
Enumeration DateJune 3, 2016
✔ NPI 1215386933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · M 8773
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4517 SOUTHGATE DR, Plano, TX 75024
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Texas Id PA's NPI number?

The NPI number for North Texas Id PA is 1215386933. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is North Texas Id PA located?

North Texas Id PA is located at 4517 Southgate Dr, Plano, TX 75024. The listed phone number is (972) 853-7170.

What is North Texas Id PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for North Texas Id PA was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.