Organization Active NPI

W.R. Lawley, M.D., P.a.

Doing business as Keystone Medical Center

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1649441106
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6405 Issued in TX
Legal business name
W.R. LAWLEY, M.D., P.A.
Doing business as
Keystone Medical Center
Practice address
8702 Spring Valley Rd Ste B
Dallas, TX 75240-4231
Phone
(972) 437-9090
NPI assigned
Mar 12, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. W.R. Lawley, M.D.
Title
President
Phone
(972) 437-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C6405 TX Primary

Addresses

Primary practice location

8702 Spring Valley Rd Ste B
Dallas, TX 75240-4231

Mailing address

8702 Spring Valley Rd Ste B
Dallas, TX 75240-4231

Other identifiers 1

IdentifierTypeStateIssuer
169034901MedicaidTX

Other names 1

  • Keystone Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

8702 Spring Valley Rd
Ste B
Dallas, TX 75240
Phone (972) 437-9090

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1649441106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 SPRING VALLEY RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 SPRING VALLEY RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404231",
            "telephone_number": "972-437-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.R. LAWLEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "LAWLEY",
        "authorized_official_first_name": "W.R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-437-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C6405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169034901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Medical Center",
            "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 Jun 9, 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.