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Specialty details in registry · Dallas, TX

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At a glance

3911 S Lancaster Rd Ste 100, Dallas, TX 75216-5682

NPPES record updated Feb 4, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • 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

3911 S Lancaster Rd Ste 100
Dallas, TX 75216-5682
Professional details: NPI, taxonomy & registry record
NPI1619508025
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251C00000X
Enumeration date
Feb 4, 2020
Record updated
Feb 4, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251C00000X · Primary

Specialty details in registry

261QD1600X

Specialty details in registry

261QM0801X

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X

Specialty details in registry

305S00000X

Specialty details in registry

347E00000X

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

Practice location

3911 S Lancaster Rd Ste 100
Dallas, TX 75216-5682
Phone
(469) 216-5269
Mailing address
3911 S LANCASTER RD STE 100

DALLAS, TX 752165682
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Information may be outdated or incomplete.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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