Healthcare Provider Details

I. General information

NPI: 1336824044
Provider Name (Legal Business Name): NATASHA TRUESDALE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5323 HARRY HINES BLVD
DALLAS TX
75390-9063
US

IV. Provider business mailing address

5323 HARRY HINES BLVD STOP 7200
DALLAS TX
75390-9063
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-7000
  • Fax: 214-456-8132
Mailing address:
  • Phone: 214-456-7000
  • Fax: 214-456-8132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW4627
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: