Active NPI
White Rock Internal Medicine
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1508074113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WHITE ROCK INTERNAL MEDICINE
- Practice address
- 9330 Poppy Dr
Suite 403
Dallas, TX 75218-4621 - Phone
- (214) 328-4389
- Fax
- (214) 328-4085
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary A Croll, MD
- Title
- Partner
- Phone
- (214) 328-4389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
9330 Poppy Dr
Suite 403
Dallas, TX 75218-4621
Mailing address
9330 Poppy Dr
Suite 403
Dallas, TX 75218-4621
Phone (214) 328-4389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134288012 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
9330 Poppy Dr
Ste 403
Dallas, TX 75218
Phone (214) 328-4359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1508074113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 POPPY DR",
"address_2": "SUITE 403",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184621",
"telephone_number": "214-328-4389",
"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": "SUITE 403",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184621",
"telephone_number": "214-328-4389",
"fax_number": "214-328-4085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE ROCK INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "CROLL",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "214-328-4389",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1134288012",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- White Rock Dental Group, PLLC
- White Rock Emergency Physicians, PLLC
- White Rock ENT PA
- White Rock Family Health
- White Rock Hospitalists, PLLC
- White Rock OB/GYN, PLLC
- White Rock Obstetrics and Gynecology Associates
- White Rock Open Air MRI LLC
- White Rock Orthopedic Association
- White Rock Psychiatric and Psychotherapy Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.