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LD WELLNESS PLLC NPI 1245723428


NPI Information

NPI: 1245723428
Provider Name: LD WELLNESS PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
7331 GASTON AVE STE 219
DALLAS, TX
ZIP 75214
Phone: (315) 796-1087
Get Directions

LD WELLNESS PLLC is a pain medicine anesthesiology in Dallas, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LD WELLNESS PLLC NPI is 1245723428. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7331 GASTON AVE STE 219
DALLAS, TX
ZIP 75214-131
Phone: (315) 796-1087

The provider's authorized official is Louis Degironemo .
The authorized official title is Principal and has the following contact phone number (315) 796-1087.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 6/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineQ0036TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q0036OTHERTEXASTMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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