Allan S. Disraeli, M.D., P.a. – Gynecology Physician

Key facts

NPI: 1497864490
Entity type: Organization (NPI type 2)
Primary specialty: Gynecology Physician 207VG0400X
License: D3853 (TX)
Legal business name: ALLAN S. DISRAELI, M.D., P.A.
Practice address: 333 N Shiloh Rd
Suite 105
Garland, TX 75042-6680
Phone: (972) 272-5458
NPI assigned: Aug 30, 2006
Organization subpart: No

Authorized official

Name: Dr. Allan S. Disraeli, M.D.
Title: Presidemt
Phone: (972) 272-5458

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gynecology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207VG0400X	D3853	TX	Yes

Addresses

Primary practice location

333 N Shiloh Rd
Suite 105
Garland, TX 75042-6680

Mailing address

333 N Shiloh Rd
Suite 105
Garland, TX 75042-6680
Phone (972) 272-5458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497864490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SHILOH RD",
            "address_2": "SUITE 105",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426680",
            "telephone_number": "972-272-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SHILOH RD",
            "address_2": "SUITE 105",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426680",
            "telephone_number": "972-272-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN S. DISRAELI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISRAELI",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDEMT",
        "authorized_official_telephone_number": "972-272-5458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "D3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

All providers in Garland, TX · Gynecology Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.