Provider Demographics
NPI:1962056002
Name:PREMIER PHYSICIANS OF NORTH TEXAS, PLLC
Entity type:Organization
Organization Name:PREMIER PHYSICIANS OF NORTH TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANOJKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-478-8800
Mailing Address - Street 1:3427 TRINITY MILLS RD STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6203
Mailing Address - Country:US
Mailing Address - Phone:972-478-8800
Mailing Address - Fax:972-478-8813
Practice Address - Street 1:3427 TRINITY MILLS RD STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6203
Practice Address - Country:US
Practice Address - Phone:972-478-8800
Practice Address - Fax:972-478-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty