Provider Demographics
NPI:1861056665
Name:DAVINDER SINGH MD PLLC
Entity type:Organization
Organization Name:DAVINDER SINGH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-372-5850
Mailing Address - Street 1:532 COYOTE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-1978
Mailing Address - Country:US
Mailing Address - Phone:817-372-5850
Mailing Address - Fax:
Practice Address - Street 1:350 WESTPARK WAY STE 111
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3729
Practice Address - Country:US
Practice Address - Phone:817-372-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty