MYDAS PA NPI 1508296583

NPI Information

  • NPI: 1508296583
  • Provider Name: MYDAS PA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1500 S MAIN ST
    FT WORTH, TX
    ZIP 76104
  • Phone: (817) 702-3431

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NPI Details

MYDAS PA is a general practice in Ft Worth, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MYDAS PA NPI is 1508296583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 S MAIN ST
FT WORTH, TX
ZIP 76104
Phone: (817) 702-3431

The provider's authorized official is Nestor Zenarosa .
The authorized official title is President and has the following contact phone number (469) 420-5527.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/1/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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