ETHELEEN OLIVIA LENGYON


Address: 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168
Phone: 2143582300

ETHELEEN OLIVIA LENGYON (NPI# 1316050727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316050727
Entity Type Individual
Full Name ETHELEEN OLIVIA LENGYON
Credential PA-C
Practice Address 3604 Live Oak St
Suite 100
Dallas
TX 75204-6168
Mailing Address 1420 Viceroy Dr
Attn: Lashunda Johnson
Dallas
TX 75235-2208
Practice Telephone 2143582300
Practice Fax Number 2143666330
Mailing Telephone 2143582300
Mailing Fax Number 2143666127
Enumeration Date 2006-08-17
Last Update Date 2011-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA00047 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3604 LIVE OAK ST
SUITE 100
City DALLAS
State TX
Zip Code 75204-6168

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205826310 Us Vascular Access Center of Dallas,llc Clinic/Center 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 2005-10-28
1487086054 Heather Kasten Physician Assistant 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 2013-08-05
1780980029 Erica Allesandra Collins Nurse Practitioner 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 2011-02-03
1053634030 Dallas Nephrology Associates Clinic/Center 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 2010-03-05
1568673226 Muhammad Saim Internal Medicine 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 2007-05-24
1174636401 Carolyn Colette Cochran Dietitian, Registered 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 2006-08-17
1760596027 Mary Elizabeth Callahan Social Worker 3604 Live Oak St, Dallas, TX 75204-6168 2006-08-17
1205857927 Us Vascular Access Center of Dallas, LLC Clinic/Center 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 2006-07-21
1386679413 Us Vascular Access Center of Dallas,llc Clinical Medical Laboratory 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 2006-07-11
1760437305 Frank J Rivera Radiology 3604 Live Oak St, Suite # 100, Dallas, TX 75204-6168 2006-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020350 Christina Wilder Nurse Practitioner 821 Allen Street Apt 424, Dallas, TX 75204 2020-10-11
1710441803 Axownal Monitoring, Pllc Electrodiagnostic Medicine 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 2019-01-23
1275026221 Taylor Houser Advanced Practice Midwife 3611 Swiss Ave Ste 200, Dallas, TX 75204 2018-06-13
1407372147 Regan Paulsen Counselor 4144 N. Central Expressway 955, 955, Dallas, TX 75204 2017-08-15
1639621311 Pat Thi Nguyen Nurse Practitioner 3133 Lemmon Ave East, Dallas, TX 75204 2016-10-28
1770957896 Dendrite Monitoring Services, Pllc Electrodiagnostic Medicine 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 2015-12-01
1245609858 Heather Eileen Li Pharmacist 2830 State St, Dallas, TX 75204 2015-09-24
1437527223 Christy Walker Nurse Practitioner 2420 Clark St #703, Dallas, TX 75204 2015-09-10
1740678077 Margaret Dutton Physical Therapist 4200 Live Oak, Dallas, TX 75204 2015-01-09
1639579659 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 3133 Lemmon Ave E, Dallas, TX 75204 2014-08-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821641051 Kelsey Young Physician Assistant 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 2019-07-17
1558863555 Kyra Nicole Logan Physician Assistant 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 2018-03-06
1386169175 Lauren Moore Physician Assistant 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 2017-08-14
1811427594 Jena Benik Physician Assistant 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 2017-06-15
1881123909 One Healthcare LLC Physician Assistant 1722 Routh St Ste 900, Dallas, TX 75201-2588 2017-06-12
1972037307 Morrison Medical Physician Assistant 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 2017-04-12
1205297652 Keri Miller Physician Assistant 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 2016-03-14
1275907776 Aleshia Mutai Physician Assistant 5800 E Lovers Ln, Dallas, TX 75206-2901 2015-11-20
1588049613 Yvonne Conard Physician Assistant 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 2015-07-30
1699174599 John Michael Cline Physician Assistant 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 2014-08-15
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Competitor

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City DALLAS
Zip Code 75204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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