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1295734408

NPI Code Detail

MEDICARE: TONY S DAS MD

MEDICARE: TONY S DAS MD

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	207RC0000X	Cardiovascular Disease Physician	H9877	TX
2	207RI0011X	Interventional Cardiology Physician	H9877	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110125249	OTHER	TX	RAILROAD
3	89X466	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P00044326	OTHER	TX	RAILROAD
6	060067351	OTHER	TX	RAILROAD

General Provider Information

NPI Number	:	1295734408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONY S DAS MD

Provider Business Mailing Address
First Line	:	9330 LBJ FWY STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-4310
Country	:	US
Telephone Number	:	972-792-5700
Fax Number	:	214-504-1170

Provider Business Practice Location Address
First Line	:	12720 HILLCREST RD STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2089
Country	:	US
Telephone Number	:	214-814-1550
Fax Number	:	214-814-1350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	10/27/2023

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1588628739 — DR. KENNETH B JOHNSON MD
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1659659969 — DR. IMRAN BAIG MD
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1497097984 — DR. NICHOLAS COOPER MACPHERSON MD
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1407275290 — AZIZUL REHMAN M.D
Practice Location Address:

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Directions to “ TONY S DAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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