Beyond The Behavior

Specialty details in registry · Dallas, TX

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At a glance

19002 Dallas Pkwy, Dallas, TX 75287-3149

NPPES record updated Jan 16, 2013. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

19002 Dallas Pkwy #1021
Dallas, TX 75287-3149
Professional details: NPI, taxonomy & registry record
NPI1154669745
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
103K00000X
Enumeration date
Jan 16, 2013
Record updated
Jan 16, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

License reported: 1-0602942 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

19002 Dallas Pkwy
#1021
Dallas, TX 75287-3149
Phone
(972) 921-5041
Fax
(469) 726-2242
Mailing address
19002 DALLAS PKWY
#1021
DALLAS, TX 752873149
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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