NPIMap

Organization Active NPI

Desoto Healthcare Clinic LLC

  • Primary Care Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1225707342
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DESOTO HEALTHCARE CLINIC LLC
Practice address
860 Hebron Pkwy Ste 704
Lewisville, TX 75057-5145
Phone
(214) 777-2703
Fax
(817) 865-1530
NPI assigned
Sep 10, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naureen Salim, FNPNPI 1881281905
Title
Owner
Phone
(469) 567-9974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

860 Hebron Pkwy Ste 704
Lewisville, TX 75057-5145

Mailing address

1221 W Airport Fwy Ste 209
Irving, TX 75062-6209
Phone (469) 567-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020000022 TX Part B Supplier - Clinic/Group Practice 1153719414 Receives reassigned benefits from 31 practitioners
Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Locations

951 York Dr
Ste 102
Desoto, TX 75115
Phone (512) 843-7648

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1225707342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W AIRPORT FWY STE 209",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626209",
            "telephone_number": "469-567-9974",
            "fax_number": "817-865-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 704",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575145",
            "telephone_number": "214-777-2703",
            "fax_number": "817-865-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "NAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-567-9974",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.