Organization Active NPI

Texas Health, LLC

Doing business as Injury 1 of Dallas

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1831245364
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32981 Issued in TX
Legal business name
TEXAS HEALTH, LLC
Doing business as
Injury 1 of Dallas
Practice address
9262 Forest LN
Suite 100
Dallas, TX 75243-4207
Phone
(241) 692-5001
Fax
(214) 692-5750
NPI assigned
Jan 26, 2007
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Nat Mangum
Title
Ceo
Phone
(469) 688-6628

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15980 TX
Professional Counselor 101YP2500X 15520 TX
Psychologist 103T00000X 33427 TX
Clinical Psychologist 103TC0700X 32981 TX Primary
Chiropractor 111N00000X 10867 TX
Family Medicine Physician 207Q00000X H0319 TX
Family Medicine Physician 207Q00000X E2567 TX
Physical Therapist 225100000X 1152840 TX

Addresses

Primary practice location

9262 Forest LN
Suite 100
Dallas, TX 75243-4207

Mailing address

5931 Desco Dr
Dallas, TX 75225-1604
Phone (214) 563-5122

Other names 1

  • Injury 1 of Dallas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1831245364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 DESCO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752251604",
            "telephone_number": "214-563-5122",
            "fax_number": "214-361-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9262 FOREST LN",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434207",
            "telephone_number": "241-692-5001",
            "fax_number": "214-692-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "NAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-688-6628"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15980",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15520",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33427",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32981",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10867",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2567",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1152840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury 1 of Dallas",
            "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 26, 2010; 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.