Daphne L Favroth MD and Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H9074 Issued in TX

Legal business name

DAPHNE L FAVROTH MD AND ASSOCIATES

Practice address

551 N Plano Rd
Richardson, TX 75081-2940

Phone

(972) 669-8400

Fax

(972) 235-0033

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daphne Louise Favroth, MDNPI 1982600763

Title

Owner

Phone

(972) 669-8400

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daphne Louise Favroth, M.D.

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1982600763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1659577138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812940",
            "telephone_number": "972-669-8400",
            "fax_number": "972-235-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812940",
            "telephone_number": "972-669-8400",
            "fax_number": "972-235-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPHNE L FAVROTH MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "FAVROTH",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-669-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9074",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H9074",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "019205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179396001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Larin Daniels, CCC-SLP
• Katherine Daniels, OTR
• Olivia Daniels
• Blake Danner
• Trung Nguyen Dao, MD
• Camillelois Banding Dario
• Barret J Davidson, DDS
• Deja Davidson
• Alexandria Nichcole Davis, LPC
• Andrea Marie Davis, LPC-S, ATR-BC

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.