Active NPI
Reza Assadollah, DCNP, PLLC
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1922578194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REZA ASSADOLLAH, DCNP, PLLC
- Practice address
- 6380 LBJ Fwy # 290
Dallas, TX 75240-6416 - Phone
- (972) 991-1153
- NPI assigned
- Nov 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Marchese
- Title
- Manager
- Phone
- (214) 205-4995
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
6380 LBJ Fwy # 290
Dallas, TX 75240-6416
Mailing address
6380 LBJ Fwy # 290
Dallas, TX 75240-6416
Phone (972) 991-1153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 782677 | Other | TX | NP LICENSE |
Other names 1
- Gohemreza Assadollahi
National Provider Directory
National Provider DirectoryLocations
12870 Hillcrest Rd
Dallas, TX 75230
Phone (972) 458-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1922578194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6380 LBJ FWY # 290",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406416",
"telephone_number": "972-991-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6380 LBJ FWY # 290",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406416",
"telephone_number": "972-991-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REZA ASSADOLLAH, DCNP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-30",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "MARCHESE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-205-4995"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "782677",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gohemreza Assadollahi",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.