Medica Premier Healthcare, Pllc

Family Nurse Practitioner · Dallas, TX

Call (469) 250-1830 Directions

At a glance

1910 Pacific Ave, Dallas, TX 75201-4529

NPPES record updated Dec 10, 2025. Public records can lag behind changes at a practice.

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

Practice location

1910 Pacific Ave
Dallas, TX 75201-4529

Professional details: NPI, taxonomy & registry record

NPI1194689539

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Dec 10, 2025
Record updated: Dec 10, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

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

Practice location

1910 Pacific Ave
Dallas, TX 75201-4529

Phone: (469) 250-1830

Mailing address

1910 PACIFIC AVE

DALLAS, TX 752014529

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Information may be outdated or incomplete.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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