Allan S. Disraeli, M.D., P.a.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D3853 Issued in 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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allan S. Disraeli, M.D.

Title

Presidemt

Phone

(972) 272-5458

Specialties & licenses 1

Addresses

Locations

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

{
    "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": []
}

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• Gynecology Physician in Garland, TX
• Providers in Garland, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.