Healthcare Provider Details

I. General information

NPI: 1962056002
Provider Name (Legal Business Name): PREMIER PHYSICIANS OF NORTH TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 S MACARTHUR BLVD STE C
IRVING TX
75060-3827
US

IV. Provider business mailing address

1107 S MACARTHUR BLVD STE C
IRVING TX
75060-3827
US

V. Phone/Fax

Practice location:
  • Phone: 469-722-5797
  • Fax: 469-722-5797
Mailing address:
  • Phone: 469-722-5797
  • Fax: 469-722-5797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MANOJKUMAR DOBARIYA
Title or Position: PRESIDENT
Credential: MD
Phone: 469-722-5797