Organization Active NPI

Resource Center Lgbtq Health & Wellness Center

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1457916041
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
RESOURCE CENTER LGBTQ HEALTH & WELLNESS CENTER
Practice address
2701 Reagan St
Dallas, TX 75219-3403
Phone
(214) 540-4492
Fax
(214) 261-2318
NPI assigned
May 8, 2019
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
RESOURCE CENTER OF DALLASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Marisa Elliott
Title
Coo
Phone
(214) 521-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2701 Reagan St
Dallas, TX 75219-3403

Mailing address

5750 Cedar Springs Rd
Dallas, TX 75235-6802
Phone (214) 521-5124

National Provider Directory

National Provider Directory
Part of
Resource Center of Dallas

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1457916041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356802",
            "telephone_number": "214-521-5124",
            "fax_number": "214-522-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 REAGAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193403",
            "telephone_number": "214-540-4492",
            "fax_number": "214-261-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCE CENTER LGBTQ HEALTH & WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESOURCE CENTER OF DALLAS",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-521-5124"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 24, 2020; 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.