Healthcare Provider Details

I. General information

NPI: 1568284685
Provider Name (Legal Business Name): DBM HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 CHURCHILL DR STE 100
FLOWER MOUND TX
75022-5900
US

IV. Provider business mailing address

3051 CHURCHILL DR STE 100
FLOWER MOUND TX
75022-5900
US

V. Phone/Fax

Practice location:
  • Phone: 870-875-1481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: HARVINDER DOD
Title or Position: OWNER
Credential: MD
Phone: 304-590-1935