SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC


Address: 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231
Phone: 4693052305

SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC (NPI# 1659987022) 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) 1659987022
Entity Type Organization
Organization Name SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC
Practice Address 8198 Walnut Hill Lane
Jackson Bldg, Suite 100
Dallas
TX 75231
Mailing Address 8198 Walnut Hill Lane
Jackson Bldg Suite 100
Dallas
TX 75231
Practice Telephone 4693052305
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Authorized Official Name CHRISTIN WOODS (OFFICE MANAGER)
Authorized Official Telephone 2146935893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS MEDICAL LICENSE M7859 01

Office Location

Street Address 8198 WALNUT HILL LANE
JACKSON BLDG, SUITE 100
City DALLAS
State TX
Zip Code 75231

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1760964100 Amber Nicole Caruthers Nurse Practitioner 8060 Park Lane, Dallas, TX 75231 2018-09-01
1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
1538653753 Manju R. Goyal M.d. Psychiatry Pllc Psychiatry & Neurology 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 2018-06-20
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285275560 Heavenly Hands Family Medical Clinic, Pllc Clinic/Center 7602 Great Trinity Forest Way, Dallas, TX 75217-6650 2019-10-08
1740831098 Careatc Clinic/Center 1500 Marilla St Rm 1cs, Dallas, TX 75201-6318 2019-09-26
1063077824 Onepeak Medical Clinic, Inc Clinic/Center 1910 Greenville Ave, Dallas, TX 75206-7439 2019-05-07
1972068526 Inkure U LLC Clinic/Center 8204 Elmbrook Dr Ste 202, Dallas, TX 75247-4067 2019-02-07
1548752850 Susan Bacsik Do Pllc Clinic/Center 730 N Bishop Ave, Dallas, TX 75208-4338 2018-06-01
1255820239 Fitzgerald Family Medicine Clinic/Center 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 2018-05-06
1447759212 Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou Clinic/Center 17655 Waterview Parkway, Dallas, TX 75252 2018-02-07
1700328325 Daniel Health & Wellness, Pllc Clinic/Center 17762 Preston Rd Ste 114, Dallas, TX 75252-5730 2016-11-14
1407205222 Jayshri Health Services Clinic/Center 6315 Lindsley Ave, Dallas, TX 75223-1312 2016-06-13
1437506813 James Ray Bergmann Clinic/Center 2200 Victory Ave, Unit 2404, Dallas, TX 75219-7675 2016-05-16
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Competitor

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City DALLAS
Zip Code 75231

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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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