Progressive Health Medical Center PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

Q9070 Issued in TX

Legal business name

PROGRESSIVE HEALTH MEDICAL CENTER PLLC

Practice address

15110 Dallas Pkwy Ste 630
Dallas, TX 75248-4635

Phone

(972) 792-0204

Fax

(972) 792-0204

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Howington

Title

Management

Phone

(580) 775-5857

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1831606722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY STE 630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635",
            "telephone_number": "972-792-0204",
            "fax_number": "972-792-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY STE 630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635",
            "telephone_number": "972-792-0204",
            "fax_number": "972-792-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "HOWINGTON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "580-775-5857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "09927",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q9070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Profit, MD
• Jenni Profit
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• Progressive Endodontics, P.a.
• Progressive Health Medical Associates, PLLC
• Progressive Integrated Healthcare LLC
• Progressive Internal Medicine PLLC
• Progressive Neuro Diagnostics
• Progressive Pain & Interventional Psychiatry PLLC
• Progressive Rehab Solutions, LLC

• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.