Active NPI
Elizabeth Anne Palacios, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1376566612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H7335
- Practice address
- 9330 Poppy Dr
403
Dallas, TX 75218-4621 - Phone
- (214) 328-3186
- Fax
- (214) 328-4085
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H7335 | TX | Primary |
Addresses
Primary practice location
9330 Poppy Dr
403
Dallas, TX 75218-4621
Mailing address
9330 Poppy Dr
403
Dallas, TX 75218-4621
Phone (214) 328-3186
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117317103 | Medicaid | TX | |
| 81G572 | Other | TX | BCBS |
| P0005463 | Other | TX | RR MEDICARE PIN (D.I.S.) |
| 081535901 | Other | TX | MEDICAID |
| 117317101 | Medicaid | TX | |
| 110091135 | Other | TX | RR MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Interpretive Services | Past | Accepting new patients | |
| Wellmed Medical Group, PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1245301936
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1376566612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 POPPY DR",
"address_2": "403",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184621",
"telephone_number": "214-328-3186",
"fax_number": "214-328-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 POPPY DR",
"address_2": "403",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184621",
"telephone_number": "214-328-3186",
"fax_number": "214-328-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H7335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117317103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "81G572",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN (D.I.S.)",
"identifier": "P0005463",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "081535901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117317101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110091135",
"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 May 7, 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.