| John A. Demopulos, M.d., P.a. | |
|
7777 Forest Ln Ste B216 Dallas TX 75230-6810 | |
| (972) 566-8380 | |
| Not Available |
| Full Name | John A. Demopulos, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7777 Forest Ln Ste B216, Dallas, Texas |
| Authorized Official Name and Position | John A Demopulos (OWNER) |
| Authorized Official Contact | 9725668380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Demopulos, M.d., P.a. 7777 Forest Ln Ste B216 Dallas TX 75230-6810 Ph: (972) 566-8380 | John A. Demopulos, M.d., P.a. 7777 Forest Ln Ste B216 Dallas TX 75230-6810 Ph: (972) 566-8380 |
| NPI Number | 1003077561 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003077561 | NPI | - | NPPES |
| 1233587-04 | Medicaid | TX | |
| 00J11E | Other | TX | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H8543 (Texas) | Primary |
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