Organization Active NPI

Pegasus Clinic, PLLC

Doing business as Pegasus Medical

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1558737122
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PEGASUS CLINIC, PLLC
Doing business as
Pegasus Medical
Practice address
6060 North Central Expressway
Suite 424
Dallas, TX 75214
Phone
(512) 422-0633
Fax
(214) 980-0650
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Jeffery Fritz, MD
Title
Owner/Physician
Phone
(512) 422-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

6060 North Central Expressway
Suite 424
Dallas, TX 75214

Mailing address

6120 Swiss Ave Unit 140326
Dallas, TX 75214-0050
Phone (512) 422-0633

Other names 1

  • Pegasus Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6120 Swiss Ave
Unit 140326
Dallas, TX 75214

11520 N Central Expy
Ste 113
Dallas, TX 75243
Phone (469) 424-1960

3716 Standridge Dr
Ste 101
The Colony, TX 75056
Phone (972) 239-5722

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1558737122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SWISS AVE UNIT 140326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752140050",
            "telephone_number": "512-422-0633",
            "fax_number": "214-980-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 NORTH CENTRAL EXPRESSWAY",
            "address_2": "SUITE 424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "512-422-0633",
            "fax_number": "214-980-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "512-422-0633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pegasus Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pegasus Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 28, 2019; 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.