White Rock Internal Medicine

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

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary A Croll, MDNPI 1962445916

Title

Partner

Phone

(214) 328-4389

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Alvin Croll, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1962445916
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• 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

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• 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.