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NPI Code Detail

MEDICARE: PDP OF TEXAS, PLLC

MEDICARE: PDP OF TEXAS, 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
1208600000XSurgery Physician
2207NP0225XPediatric Dermatology Physician
3363L00000XNurse Practitioner
4207ND0101XMOHS-Micrographic Surgery Physician
5207NS0135XProcedural Dermatology Physician
6204E00000XOral & Maxillofacial Surgery (D.M.D.)
7363A00000XPhysician Assistant
82086X0206XSurgical Oncology Physician
9207ND0900XDermatopathology Physician
10207N00000XDermatology Physician

General Provider Information

NPI Number : 1629025739
Entity Type Code : Organization
Provider Name (Legal Business Name) : PDP OF TEXAS, PLLC
Provider Business Mailing Address
First Line : 9900 N CENTRAL EXPY STE 500
Second Line :
City : DALLAS
State : TX
Zip : 75231-0928
Country : US
Telephone Number : 214-987-3376
Fax Number : 469-532-0273
Provider Business Practice Location Address
First Line : 411 N WASHINGTON AVE STE 4000
Second Line :
City : DALLAS
State : TX
Zip : 75246-1776
Country : US
Telephone Number : 214-987-3376
Fax Number : 469-532-0273
Authorized Official
Title or Position : M.D.
Name : KEVIN FARZIN KIA
Credential : MD
Telephone Number : 214-987-3376
Provider Enumeration Date : 05/27/2006
Last Update Date : 04/16/2026

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Directions to “PDP OF TEXAS, PLLC ” Practice Location

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