Organization Active NPI

Ronald Philleaux M.D. P.a.

  • Preferred Provider Organization
  • Dallas, TX
National Provider Identifier
1396073672
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
D1883 Issued in TX
Legal business name
RONALD PHILLEAUX M.D. P.A.
Practice address
10246 Midway Rd
Suite 105
Dallas, TX 75229-6233
Phone
(214) 357-9481
Fax
(214) 902-0636
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Ronaldl Wreyburn Philleaux, M.D.
Title
Medical Doctor/Owner
Phone
(214) 357-9481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X D1883 TX Primary
Preferred Provider Organization 305R00000X D-1883 TX

Addresses

Primary practice location

10246 Midway Rd
Suite 105
Dallas, TX 75229-6233

Mailing address

10246 Midway Rd.
Suite 105
Dallas, TX 75229-6223
Phone (214) 357-9481

National Provider Directory

National Provider Directory

Locations

10246 Midway Rd
Ste 105
Dallas, TX 75229
Phone (214) 357-9481

10246 Midway Rd
Ste F
Dallas, TX 75229
Phone (214) 357-9481

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1396073672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10246 MIDWAY RD.",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296223",
            "telephone_number": "214-357-9481",
            "fax_number": "214-902-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10246 MIDWAY RD",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296233",
            "telephone_number": "214-357-9481",
            "fax_number": "214-902-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD PHILLEAUX M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PHILLEAUX",
        "authorized_official_first_name": "RONALDL",
        "authorized_official_middle_name": "WREYBURN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "214-357-9481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "D1883",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "D-1883",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 25, 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.

Verify at the official NPI Registry.