Organization Active NPI

Deuteronomy

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1245251354
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DEUTERONOMY
Practice address
8210 Walnut Hill LN
Suite 230
Dallas, TX 75231-4405
Phone
(972) 792-5700
NPI assigned
Jul 22, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Debi Glick
Title
VP Admin
Phone
(972) 792-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

8210 Walnut Hill LN
Suite 230
Dallas, TX 75231-4405

Mailing address

PO Box 910042
Dallas, TX 75391-0042
Phone (972) 792-5700

Other identifiers 2

IdentifierTypeStateIssuer
1198368-02MedicaidTX
0018BVOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1245251354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910042",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910042",
            "telephone_number": "972-792-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "972-792-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEUTERONOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "VP ADMIN",
        "authorized_official_telephone_number": "972-792-5700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198368-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018BV",
            "state": "TX"
        }
    ],
    "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 18, 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.

Verify at the official NPI Registry.