MEDICARE: DJSACCOMD,PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1033049168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DJSACCOMD,PLLC

Provider Business Mailing Address
First Line	:	7777 FOREST LN STE C700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2518
Country	:	US
Telephone Number	:	972-566-6464
Fax Number	:	972-566-6279

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE C700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2518
Country	:	US
Telephone Number	:	972-566-6464
Fax Number	:	972-566-6279

Authorized Official
Title or Position	:	PEDIATRIC NEUROSURGEON
Name	:	DR. DAVID JOHN SACCO
Credential	:	MD
Telephone Number	:	972-566-6464

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/21/2026

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Directions to “DJSACCOMD,PLLC ” Practice Location

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