Active NPI
Medical Associates of Dallas PLLC
- Clinic/Center
- Dallas, TX
National Provider Identifier
1336799618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEDICAL ASSOCIATES OF DALLAS PLLC
- Practice address
- 6380 LBJ Fwy Ste 290
Dallas, TX 75240-6416 - Phone
- (972) 991-1153
- NPI assigned
- Sep 18, 2019
- 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
- Gholamreza Assadollah, FNP
- Title
- Sole Member
- Phone
- (469) 503-1916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6380 LBJ Fwy Ste 290
Dallas, TX 75240-6416
Mailing address
PO Box 794564
Dallas, TX 75379-4564
Other practice location 1
2121 N Main St Ste 404
Fort Worth, TX 76164-8588
Phone (817) 624-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12870 Hillcrest Rd
Ste H201
Dallas, TX 75230
2121 N Main St
Ste 404
Fort Worth, TX 76164
Phone (817) 624-7222
907 Custer Rd
Richardson, TX 75080
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1356556591
-
- Primary Care Nurse Practitioner
- Mobile, AL
- NPI 1497851109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1336799618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 794564",
"city": "DALLAS",
"state": "TX",
"postal_code": "753794564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6380 LBJ FWY STE 290",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406416",
"telephone_number": "972-991-1153"
}
],
"practiceLocations": [
{
"address_1": "2121 N Main St Ste 404",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761648588",
"country_code": "US",
"telephone_number": "817-624-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF DALLAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "ASSADOLLAH",
"authorized_official_first_name": "GHOLAMREZA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "469-503-1916",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Medi-Direct Healthcare Solutions LLC
- Medi-Wheels Diagnostics, LLC
- Medi-Wheels, LLC
- Medica Premier Healthcare, PLLC
- Catherine Medica, MS, RD, LDN
- Medical Biofeedback & Pain Control Center
- Medical City Dallas Imaging Center, LLC
- Medical City OB-GYN, PLLC
- Medical City Pharmacy LLC
- Medical City Specialty Surgicenter of Dallas, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.