Active NPI
Holly Marie Gallegos, P.A.
- Medical Physician Assistant
- Dallas, TX
National Provider Identifier
1164466595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02027
- Practice address
- 12221 Merit Dr
Ste 1610
Dallas, TX 75251-2202 - Phone
- (214) 217-1911
- Fax
- (214) 217-1912
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02027 | TX | Primary |
Addresses
Primary practice location
12221 Merit Dr
Ste 1610
Dallas, TX 75251-2202
Mailing address
12221 Merit Dr
Ste 1610
Dallas, TX 75251-2202
Phone (214) 217-1911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02027 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Emergency Rooms Services, PA | Past | Accepting new patients | |
| Reclaim Physicians Medical Group Inc | Past | Accepting new patients | |
| Paul Phillips III, M.D., P.a. | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Medical | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
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- NPI 1477045151
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Medical
-
- Family Medicine Physician
- Grapevine, TX
- NPI 1811418023
-
- Physician Assistant
- Corsicana, TX
- NPI 1124065735
-
- Emergency Medicine Physician
- Corsicana, TX
- NPI 1669410619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1164466595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DR",
"address_2": "STE 1610",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512202",
"telephone_number": "214-217-1911",
"fax_number": "214-217-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MERIT DR",
"address_2": "STE 1610",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512202",
"telephone_number": "214-217-1911",
"fax_number": "214-217-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "HOLLY",
"middle_name": "MARIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02027",
"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 Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.