Organization Active NPI

White Rock Internal Medicine

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1508074113
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jan 31, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1134288012OtherTXNPI

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.