Provider Demographics
NPI:1699751081
Name:ELKINS, DAVID GEOFFREY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:GEOFFREY
Last Name:ELKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:6606 LBJ FWY STE 200
Practice Address - Street 2:STE 1400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0151207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX036879702Medicaid
TX036879701Medicaid
TX036879704OtherMEDICAID CSHCN
TX036879703Medicaid
TX036879705OtherMEDICAID CSHCN
TX036879706OtherMEDICAID CSHCN
TX8A1739OtherBCBS
TX8A1739OtherBCBS
TX036879705OtherMEDICAID CSHCN
TX036879701Medicaid
TX8227M5Medicare PIN
TX036879702Medicaid
TX8370M1Medicare PIN