Organization Active NPI

Pediatrix Primary Care of Texas PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1023747532
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEDIATRIX PRIMARY CARE OF TEXAS PLLC
Practice address
1999 Bryan St Ste 900
Dallas, TX 75201-3140
Phone
(713) 957-2020
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Humaira Qureshi
Title
Owner
Phone
(281) 712-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1999 Bryan St Ste 900
Dallas, TX 75201-3140

Mailing address

PO Box 123337
Dallas, TX 75312-3337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1023747532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123337",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753123337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 BRYAN ST STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013140",
            "telephone_number": "713-957-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX PRIMARY CARE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-712-8033"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.