Organization Active NPI

Ies Mobile Medicine PLLC

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1992320758
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
IES MOBILE MEDICINE PLLC
Practice address
4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001
Phone
(469) 420-5527
NPI assigned
Jun 8, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nestor Zenarosa, MD
Title
Authorized Official
Phone
(469) 420-5527

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001

Mailing address

PO Box 650444
Dallas, TX 75265-0444
Phone (469) 420-5527

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2021.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1992320758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650444",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650444",
            "telephone_number": "469-420-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001",
            "telephone_number": "469-420-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IES MOBILE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "ZENAROSA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-420-5527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency 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 Apr 9, 2021; 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.