Organization Active NPI

Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1013303080
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ACCESS TELECARE, PLLC
Practice address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone
(972) 449-0540
Fax
(972) 449-0550
NPI assigned
Apr 7, 2015
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Gallagher, MDNPI 1205048048
Title
Ceo/President
Phone
(972) 449-0543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1717 Main St Ste 5850
Dallas, TX 75201-7317

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540

Other practice location 1

100 E Carroll St
Salisbury, MD 21801-5422
Phone (972) 449-0540

Other practice location 2

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Other practice location 3

576 Norwich Road
Plainfield, CT 06374-1638
Phone (972) 449-0540

Other practice location 4

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, MN, OR, NV, LA, FL, SC, NJ, HI, MI, WA, NC, GA, UT, TN, CT, MA, NY, AR, OK, VA, CO, AL, MO, WI, IN, ID, PA, MD, AZ, NM, KY, DC, SD, MS, WY, ND, PR, NH, VT, MT, WV, KS, RI, DE, OH, ME, NE, IA50 enrollments

Enrollment records 50

Enrollment IDStateProvider typePAC IDDetails
O20150923000991 TX Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 467 practitioners
O20190418002102 IL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 102 practitioners
Practice locations: Highland Park, IL; Kankakee, IL; La Grange, IL; Lincolnwood, IL; Naperville, IL; Normal, IL; Oak Brook, IL; Oak Park, IL…
O20190711003308 MN Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 37 practitioners
Practice locations: Minneapolis, MN; Rochester, MN; North Mankato, MN; Medina, MN; Marshall, MN; Cambridge, MN; Andover, MN
O20190719001365 OR Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 26 practitioners
Practice locations: Lake Oswego, OR; Medford, OR; Portland, OR; Wilsonville, OR
O20190905003317 NV Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 63 practitioners
Practice locations: Reno, NV; Mesquite, NV; Las Vegas, NV
O20190913001489 LA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 171 practitioners
Practice locations: Alexandria, LA; Sulphur, LA; New Orleans, LA; Lake Charles, LA; Deridder, LA
O20191014003264 FL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 212 practitioners
Practice locations: Port St Lucie, FL; Port St Joe, FL; Riverview, FL; West Palm Beach, FL; Pensacola, FL; Panama City Beach, FL; Panama City, FL; Palm Harbor, FL…
O20191018002008 SC Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 136 practitioners
Practice locations: Anderson, SC; Simpsonville, SC; Rock Hill, SC; Mount Pleasant, SC; Indian Land, SC; Hilton Head Island, SC; Greenville, SC; Hardeeville, SC…
O20200123000627 NJ Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 101 practitioners
Practice locations: Westfield, NJ; Wayne, NJ; Voorhees, NJ; Toms River, NJ; Robbinsville, NJ; Paterson, NJ; North Brunswick, NJ; North Bergen, NJ…
O20200128000931 HI Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 5 practitioners
Practice locations: Hilo, HI; Wailuku, HI; Kailua Kona, HI; Kailua, HI
O20200206001134 MI Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 129 practitioners
Practice locations: Ironwood, MI; Petoskey, MI; Ontonagon, MI; Nunica, MI; Novi, MI; Marquette, MI; Laurium, MI; Lapeer, MI…
O20200228000192 WA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 104 practitioners
Practice locations: Veradale, WA; Vancouver, WA; University Place, WA; Covington, WA; Tacoma, WA; Spokane Valley, WA; Spokane, WA; Seattle, WA…
O20200302000888 NC Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 232 practitioners
Practice locations: Mount Airy, NC; Gastonia, NC; Goldsboro, NC; Hickory, NC; Jefferson, NC; Lewisville, NC; Lillington, NC; Marshville, NC…
O20200316002715 GA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 101 practitioners
Practice locations: Atlanta, GA; Statesboro, GA; Savannah, GA; Dahlonega, GA; Brunswick, GA; Braselton, GA
O20200318000448 UT Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 3 practitioners
Practice locations: St George, UT
O20200423001205 TN Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 180 practitioners
Practice locations: La Follette, TN; Powell, TN; Piney Flats, TN; Newport, TN; Memphis, TN; Livingston, TN; Knoxville, TN; Kingsport, TN…
O20200817002483 CT Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 104 practitioners
Practice locations: Bridgeport, CT; Willimantic, CT; Westport, CT; Torrington, CT; Southington, CT; Sharon, CT; Seymour, CT; Plainfield, CT…
O20200910002385 MA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 123 practitioners
Practice locations: Palmer, MA; Marblehead, MA; Marlborough, MA; Medford, MA; Methuen, MA; Milton, MA; Needham, MA; New Bedford, MA…
O20201116002637 NY Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 105 practitioners
Practice locations: Amsterdam, NY; Staten Island, NY; Saranac Lake, NY; Rome, NY; Poughkeepsie, NY; New York, NY; New Paltz, NY; Marilla, NY…
O20201130002808 AR Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 150 practitioners
Practice locations: Greenbrier, AR; Hot Springs, AR; Little Rock, AR; El Dorado, AR; Piggott, AR; Russellville, AR; Sidney, AR; Siloam Springs, AR…
O20201210000482 OK Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 96 practitioners
Practice locations: McAlester, OK; Ponca City, OK; Muskogee, OK; Oklahoma City, OK; Owasso, OK; Sayre, OK; Stillwater, OK; Woodward, OK…
O20201218002455 VA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 154 practitioners
Practice locations: Pearisburg, VA; MC Lean, VA; Richlands, VA; Rocky Mount, VA; Tazewell, VA; Vienna, VA; Warrenton, VA; Waynesboro, VA…
O20201221000437 CO Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 41 practitioners
Practice locations: Palmer Lake, CO; Colorado Springs, CO; Greeley, CO; Fort Collins, CO; Durango, CO; Denver, CO; Arvada, CO
O20210219000678 AL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 142 practitioners
13 other NPIs on this enrollment
Practice locations: Enterprise, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Selma, AL; Prattville, AL; Opelika, AL; Mountain BRK, AL…
O20210222000404 MO Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 127 practitioners
Practice locations: Sedalia, MO; Webster Groves, MO; Springfield, MO; Saint Louis, MO; Rolla, MO; Perryville, MO; Liberty, MO; Kansas City, MO…
O20210405000015 WI Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 67 practitioners
Practice locations: Stevens Point, WI; Wisconsin Rapids, WI; Stanley, WI; Sparta, WI; Ripon, WI; Rhinelander, WI; Tomahawk, WI; Waupun, WI…
O20210518002762 IN Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 139 practitioners
Practice locations: Terre Haute, IN; Sullivan, IN; Rushville, IN; Newburgh, IN; Linton, IN; Indianapolis, IN; Fishers, IN; Angola, IN…
O20210902001968 ID Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 103 practitioners
Practice locations: Boise, ID; Pocatello, ID
O20210907002151 PA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 135 practitioners
Practice locations: Reading, PA; York, PA; Wilkes Barre, PA; Westfield, PA; Walnutport, PA; Troy, PA; Towanda, PA; Sharon, PA…
O20210908003709 MD Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 129 practitioners
Practice locations: Hughesville, MD; Towson, MD; Salisbury, MD; Randallstown, MD; Joppa, MD; Hanover, MD; Glenwood, MD; Ellicott City, MD…
O20210923002816 AZ Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 158 practitioners
Practice locations: Avondale, AZ; Tucson, AZ; Sierra Vista, AZ; Sedona, AZ; Prescott, AZ; Lake Havasu City, AZ; Kingman, AZ; Goodyear, AZ…
O20211007003008 NM Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 183 practitioners
Practice locations: Santa Fe, NM; Roswell, NM; Rio Rancho, NM; Placitas, NM; Las Cruces, NM; Farmington, NM; Albuquerque, NM; Alamogordo, NM…
O20211012000873 KY Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 91 practitioners
Practice locations: Crofton, KY; Winchester, KY; Shepherdsville, KY; Pikeville, KY; Paducah, KY; Owensboro, KY; Louisville, KY; Lexington, KY…
O20211015001108 DC Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 85 practitioners
Practice locations: Lanham, MD; Washington, DC; Silver Spring, MD; Rockville, MD; Potomac, MD; Gaithersburg, MD; Bethesda, MD; Alexandria, VA
O20211201001613 SD Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 66 practitioners
Practice locations: Yankton, SD; Sioux Falls, SD; Rapid City, SD; Pierre, SD; Miller, SD; Milbank, SD; Chancellor, SD; Britton, SD…
O20220302000719 MS Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 10 practitioners
Practice locations: Oxford, MS; Pass Christian, MS; New Albany, MS; Hattiesburg, MS; Clarksdale, MS; Brookhaven, MS; Biloxi, MS; Batesville, MS
O20220810001167 WY Part B Supplier - Clinic/Group Practice 7810204831 Practice locations: Rock Springs, WY
O20230912001900 ND Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 1 practitioner
Practice locations: Harvey, ND
O20230919001136 PR Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 2 practitioners
Practice locations: Dorado, PR; Mayaguez, PR
O20230926001027 NH Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 62 practitioners
Practice locations: Berlin, NH; New London, NH; Nashua, NH; Littleton, NH; Lebanon, NH; Lancaster, NH; Keene, NH; Claremont, NH
O20231004001700 VT Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 51 practitioners
Practice locations: Windsor, VT; White River Junction, VT; Townshend, VT; Newport, VT; St Johnsbury, VT; Springfield, VT; South Burlington, VT; Saint Albans, VT…
O20231012000412 MT Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 143 practitioners
Practice locations: Dillon, MT; Great Falls, MT; Missoula, MT; Red Lodge, MT
O20231023000616 WV Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 115 practitioners
Practice locations: Morgantown, WV; Beckley, WV
O20231023001591 KS Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS
O20231116002254 RI Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 55 practitioners
Practice locations: Providence, RI; Warwick, RI; Wakefield, RI; Newport, RI; East Greenwich, RI; Barrington, RI
O20240215000155 DE Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 65 practitioners
Practice locations: Claymont, DE; Seaford, DE
O20240723003394 OH Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 115 practitioners
Practice locations: Shaker Heights, OH; Logan, OH; Loveland, OH; Millersburg, OH; New Albany, OH; Oakwood, OH; Pepper Pike, OH; Portsmouth, OH…
O20241120001371 ME Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 58 practitioners
Practice locations: Waterville, ME
O20250114001239 NE Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 30 practitioners
Practice locations: Elkhorn, NE; Omaha, NE
O20250117000944 IA Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 152 practitioners
Practice locations: Iowa Falls, IA; Lake City, IA; Marion, IA; Mason City, IA; Muscatine, IA; New Hampton, IA; Osage, IA; Oskaloosa, IA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations (25 of 53)

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

10320 W McDowell Rd
Ste N1447
Avondale, AZ 85392
Phone (623) 907-4400

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

18275 N 59th Ave
Bldg K
Glendale, AZ 85308

5281 N 99th Ave
Ste 200
Glendale, AZ 85305
Phone (623) 889-0411

7931 E Pecos Rd
Ste 104
Mesa, AZ 85212
Phone (480) 682-5460

26900 N Lake Pleasant Pkwy
Ste 1
Peoria, AZ 85383

1300 N 12th St
Ste 506
Phoenix, AZ 85006
Phone (602) 230-4478

303 E Baseline Rd
Ste 100
Phoenix, AZ 85042
Phone (602) 903-7228

16986 W Bell Rd Ste D401
Surprise, AZ 85374

2510 46th Ave
Greeley, CO 80634

8475 NW 39th Ave
Gainesville, FL 32606
Phone (352) 377-7733

12590 Pines Blvd
Unit 260854
Pembroke Pines, FL 33027

2156 W Nine Mile Rd
Ste C1
Pensacola, FL 32534

130 Corridor Rd
Unit 2918
Ponte Vedra Beach, FL 32004

9320 US Highway 301 S
Riverview, FL 33578
Phone (813) 471-0000

2100 SE Salerno Rd
#6503
Stuart, FL 34997
Phone (772) 223-2300

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700

999 35th St
Ste 100
Marion, IA 52302
Phone (319) 221-9999

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

8900 Indian Creek Pkwy
Ste 500
Overland Park, KS 66210

549 American Legion Hwy
Ste 1
Westport, MA 02790
Phone (774) 309-3555

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

Practitioners & affiliated clinicians

Practitioners 1,038

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1013303080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540",
            "fax_number": "972-449-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540",
            "fax_number": "972-449-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Norwich Road",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "CT",
            "postal_code": "063741638",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS TELECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "972-449-0543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.