NPIMap

Organization Active NPI

Medtex of Dallas

  • Occupational Medicine Clinic/Center
  • Dallas, TX
National Provider Identifier
1740565084
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MEDTEX OF DALLAS
Practice address
6363 Forest Park Rd
Suite 810
Dallas, TX 75235-5479
Phone
(214) 631-3139
Fax
(214) 350-1155
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Ms. Donna Busby
Title
Co-Owner
Phone
(708) 539-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

6363 Forest Park Rd
Suite 810
Dallas, TX 75235-5479

Mailing address

PO Box 1390
Frankfort, IL 60423-7390

National Provider Directory

National Provider Directory
Tax ID family
Dallas Medtex LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6363 Forest Park Rd
Ste 810
Dallas, TX 75235
Phone (214) 631-3139

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1740565084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "SUITE 810",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355479",
            "telephone_number": "214-631-3139",
            "fax_number": "214-350-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEX OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BUSBY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-539-7740",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "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 Oct 19, 2011; 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.