Active NPI
Dennis Samuel Pacl, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Manor, TX
National Provider Identifier
1346253713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- H6493
- Practice address
- 16721 Decker Creek Dr
Manor, TX 78653-5012 - Phone
- (479) 366-4882
- Fax
- (866) 838-7772
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | E6374 | AR | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | H6493 | TX | Primary |
Addresses
Primary practice location
16721 Decker Creek Dr
Manor, TX 78653-5012
Mailing address
16721 Decker Creek Dr
Manor, TX 78653-5012
Phone (479) 366-4882
Other practice location 1
10700 Hard Rock Rd
Austin, TX 78750-2045
Phone (479) 366-4882
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6374 | AR | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346253713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16721 DECKER CREEK DR",
"city": "MANOR",
"state": "TX",
"postal_code": "786535012",
"telephone_number": "479-366-4882",
"fax_number": "866-838-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16721 DECKER CREEK DR",
"city": "MANOR",
"state": "TX",
"postal_code": "786535012",
"telephone_number": "479-366-4882",
"fax_number": "866-838-7772"
}
],
"practiceLocations": [
{
"address_1": "10700 Hard Rock Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787502045",
"country_code": "US",
"telephone_number": "479-366-4882",
"fax_number": "866-838-7772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACL",
"first_name": "DENNIS",
"middle_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AR",
"license": "E6374",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "H6493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manor, TX
- Nonkululeko Doreen Nxumalo
- Jane Obi, LPC ASSOCIATE
- Open Hearts & Open Doors Group Home Services, LLC
- Jennifer Destiny Orocio-Reyna, LPC, LCPC
- Dailien Osorio, RBT
- Hinal Patel
- Lata Patel
- People's Community Clinic, Inc. (People's Community Clinic Off-Site Clinic at Manor)
- Jennifer Michelle Pluid, FNP-BC
- Prohealth DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.