Dallas VA Medical Center

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01808 Issued in TX

Legal business name

DALLAS VA MEDICAL CENTER

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 857-1713

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Margie A PrioleauNPI 1669556510

Title

Physician Assistance

Phone

(214) 857-1734

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Margie Ann Prioleau, PA

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1669556510
  NPD (past) Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063516789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 JASPER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527871",
            "telephone_number": "972-352-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIOLEAU",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANCE",
        "authorized_official_telephone_number": "214-857-1734",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Therapy Associates PLLC
• Dallas Therapy Center
• Dallas Therapy Center PLLC
• Dallas Therapy Collective, PLLC
• Dallas Therapy Group PLLC
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.