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Contact Information

ID PARTNERS PA
350 MATLOCK RD STE 201
MANSFIELD, TX76063
 Phone: 817-539-9091
 Fax: 817-539-9553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ID PARTNERS PA

NPI # 1174075857
LBN Legal business name ID PARTNERS PA
Authorized official DEVAK DESAI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2016
Last updated 03/10/2025 - More than a year ago
Identifiers
TX License # N1611
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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