Active NPI
Korrdokkz Healthcare PLLC
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1053271718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KORRDOKKZ HEALTHCARE PLLC
- Practice address
- 1999 Bryan St Ste 900
Dallas, TX 75201-3140 - Phone
- (830) 255-6561
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Jurca, DO
- Title
- Member Manager
- Phone
- (830) 255-6561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1999 Bryan St Ste 900
Dallas, TX 75201-3140
Mailing address
500 E Shore Dr Ste 223
Eagle, ID 83616-6908
Phone (830) 255-6561
National Provider Directory
National Provider DirectoryLocations
500 E Shore Dr
Ste 223
Eagle, ID 83616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1053271718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E SHORE DR STE 223",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166908",
"telephone_number": "830-255-6561"
},
{
"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": "830-255-6561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORRDOKKZ HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "JURCA",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "830-255-6561",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"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 Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.