Active NPI
White Rock Adult Medicine Assoc PA
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1235200064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WHITE ROCK ADULT MEDICINE ASSOC PA
- Practice address
- 1130 Beachview
Suite 100
Dallas, TX 75218 - Phone
- (214) 321-6485
- Fax
- (214) 324-3187
- NPI assigned
- Nov 13, 2006
- 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
- Dr. Thomas Joseph Fitzharris, MD
- Title
- President
- Phone
- (214) 321-6485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1130 Beachview
Suite 100
Dallas, TX 75218
Mailing address
1130 Beachview
Suite 100
Dallas, TX 75218
Phone (214) 321-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084340101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
10405 E Northwest Hwy
Ste 100
Dallas, TX 75238
Phone (214) 321-6485
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1609801745
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1184659187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258329600000",
"number": "1235200064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BEACHVIEW",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75218",
"telephone_number": "214-321-6485",
"fax_number": "214-324-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BEACHVIEW",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75218",
"telephone_number": "214-321-6485",
"fax_number": "214-324-3187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE ROCK ADULT MEDICINE ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2009-11-16",
"status": "A",
"authorized_official_last_name": "FITZHARRIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-321-6485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084340101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Phillip Ray Whitaker, MD
- Sharron Whitaker, LBSW, MS, ICP
- White Dental Limited Company PLLC
- Devin Martin White Kearns, PHARMD
- White Label Covid Labs LLC
- White Rock Adultmedicine Assoc.
- White Rock Chiropractic Center
- White Rock Clinic LLC
- White Rock Creek Emergency Physicians PLLC
- White Rock Dental Group, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.