person
Samir Sanmukh Desai, PA-C
Surgical Physician Assistant in Flower Mound, Texas
NPI 1629006879

Samir Sanmukh Desai is a Surgical Physician Assistant based in Flower Mound, TX and is specialized in Surgical. Samir Sanmukh Desai practices in Flower Mound, TX and has the professional credentials of PA-C. The NPI Number for Samir Sanmukh Desai is 1629006879 and holds a License No. PA04166 (Texas).

The current practice location address for Samir Sanmukh Desai is 1901 Long Prairie Rd Ste 220-80, Flower Mound, TX and can be reached out via phone at 940-736-6810.

Location: 1901 Long Prairie Rd Ste 220-80, Flower Mound, TX, 75022-4246
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Provider Profile Details
NPI Number
1629006879
Provider Name
Samir Sanmukh Desai
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1901 Long Prairie Rd Ste 220-80, Flower Mound, TX, 75022-4246
Phone Number
940-736-6810
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8L22891 01 TX MEDICARE PTAN #
PA04166 01 TX LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1901 Long Prairie Rd Ste 220-80
City
State
Zip
75022-4246
Phone Number
940-736-6810
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Long Prairie Rd Ste 220-80
City
State
Zip
75022-4246
Phone Number
940-736-6810
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA04166 (Texas)
Definition
Definition to come...
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