DSA108 LLC
NPI 1710374046
General Practice in Irving, TX

Active since April 24, 2015
108 SAN GABRIEL DR, IRVING, TX 75039(214) 620-7444 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dsa108 Llc NPPES

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

DSA108 LLC (NPI 1710374046) is a healthcare organization registered as a general practice in Irving, Texas and active in the NPI registry since April 2015. The organization lists Prabhav Tella, Owner, as its authorized official.

NPPES Registry Identity

NPI1710374046
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDSA108 LLC
Location Address108 SAN GABRIEL DRIrving, TX 75039-3350
Mailing Address825 W Royal Ln, Ste 230Irving, TX 75039-3601 · (214) 620-7444
Organization SubpartNo
Authorized OfficialPrabhav TellaOwner · (214) 620-7444
Enumeration DateApril 24, 2015
NPI 1710374046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
108 SAN GABRIEL DR, Irving, TX 75039

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
108 SAN GABRIEL DR
IRVING, TX 75039

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 Dsa108 LLC's NPI number?

The NPI number for Dsa108 LLC is 1710374046. It was assigned to this organization in the NPPES registry on April 24, 2015.

Where is Dsa108 LLC located?

Dsa108 LLC is located at 108 San Gabriel Dr, Irving, TX 75039. The listed phone number is (214) 620-7444.

What is Dsa108 LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dsa108 LLC was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.