| Anthony Doti Md Pllc | |
|
1910 Pacific Ave 15700 Dallas TX 75201-4529 | |
| (214) 389-0855 | |
| (214) 389-0859 |
| Full Name | Anthony Doti Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 Pacific Ave, Dallas, Texas |
| Authorized Official Name and Position | Anthony Doti (PRESIDENT) |
| Authorized Official Contact | 2143890855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Doti Md Pllc 445 E Fm 1382 Ste 3225 Cedar Hill TX 75104-6047 Ph: (214) 389-0855 | Anthony Doti Md Pllc 1910 Pacific Ave 15700 Dallas TX 75201-4529 Ph: (214) 389-0855 |
| NPI Number | 1649717729 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Medicare PECOS PAC ID | 6901189216 |
|---|---|
| Medicare Enrollment ID | O20170213000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649717729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K8126 (Texas) | Primary |
| Provider Name | Anthony Doti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760403679 PECOS PAC ID: 4183607690 Enrollment ID: I20040609001340 |
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