| David S Bastawros DPM PA | |
|
4716 Alliance Blvd Ste 150 Plano TX 75093-5372 | |
| (469) 814-3630 | |
| (469) 814-3635 |
| Full Name | David S Bastawros DPM PA |
|---|---|
| Speciality | Podiatrist |
| Location | 4716 Alliance Blvd Ste 150, Plano, Texas |
| Authorized Official Name and Position | David S. Bastawros (PRESIDENT) |
| Authorized Official Contact | 9724913000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Bastawros DPM PA Po Box 261126 Plano TX 75026-1126 Ph: (972) 491-3000 | David S Bastawros DPM PA 4716 Alliance Blvd Ste 150 Plano TX 75093-5372 Ph: (469) 814-3630 |
| NPI Number | 1255510103 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Medicare PECOS PAC ID | 7012989783 |
|---|---|
| Medicare Enrollment ID | O20040812000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510103 | NPI | - | NPPES |
| DO2358 | Other | TX | MEDICARE RAILROAD |
| Provider Name | David S Bastawros |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770588634 PECOS PAC ID: 2365414034 Enrollment ID: I20100830000032 |
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