Active NPI
Resource Center Lgbtq Health & Wellness Center
- Infectious Disease Physician
- Dallas, TX
National Provider Identifier
1457916041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- RESOURCE CENTER OF DALLAS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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
- Rene Resendiz, FNP-C
- Residential Visits Association (Dr's Home Visits)
- Resilient Logistics MGMT LLC
- Resilient Mind Psychiatric Services PLLC
- Resolves Healthcare Services, LLC
- Resource Center of Dallas
- Resource Center of Dallas
- Resource Center of Dallas (Nelson-Tebedo Health Resource Clinic)
- Resource Center of Dallas, Inc
- Respiratory
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.