Organization Active NPI

Gonzalo a Aillon MD PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Dallas, TX
National Provider Identifier
1700265873
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
D-7730 Issued in TX
Legal business name
GONZALO A AILLON MD PLLC
Practice address
400 S Zang Blvd
Suite 802
Dallas, TX 75208-6643
Phone
(214) 943-9406
Fax
(214) 944-5511
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Gonzalo A Aillon, M.D.
Title
Owner
Phone
(214) 943-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084B0040X D-7730 TX Primary

Addresses

Primary practice location

400 S Zang Blvd
Suite 802
Dallas, TX 75208-6643

Mailing address

400 S Zang Blvd
Suite 802
Dallas, TX 75208-6643
Phone (214) 943-9406

National Provider Directory

National Provider Directory

Locations

400 S Zang Blvd
Ste 802
Dallas, TX 75208
Phone (214) 943-9406

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1700265873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ZANG BLVD",
            "address_2": "SUITE 802",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086643",
            "telephone_number": "214-943-9406",
            "fax_number": "214-944-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ZANG BLVD",
            "address_2": "SUITE 802",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086643",
            "telephone_number": "214-943-9406",
            "fax_number": "214-944-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO A AILLON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "AILLON",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-943-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "D-7730",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2015; 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.