EQUILYST LLC. (NPI# 1679123632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679123632 |
| Entity Type | Organization |
| Organization Name | EQUILYST LLC. |
| Practice Address |
2909 Canton St Ste C Dallas TX 75226-3508 |
| Mailing Address |
3131 Main St Apt 122 Dallas TX 75226-1530 |
| Practice Telephone | 2149843696 |
| Practice Fax Number | 4695235503 |
| Mailing Telephone | 3375800710 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MR. WILLIAM BLAKE YORK (MANAGING MEMBER) |
| Authorized Official Telephone | 3375800710 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EQUILYST MODERN MEDICINE | Doing Business As Name - Organization |
| Street Address |
2909 CANTON ST STE C |
| City | DALLAS |
| State | TX |
| Zip Code | 75226-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827894 | Kendra Jenay Dawson | Physical Therapist | Genesis Pt and Wellness, Pllc, 4428 Main Street Suite 100, Dallas, TX 75226 | 2020-06-26 |
| 1881180867 | Sara Bahmanyar | Dentist | 3000 Gaston Ave, 6th Floor, Attn: Oral & Maxillofacial Surgery, Dallas, TX 75226 | 2018-07-02 |
| 1437679669 | An Hai Van Dang | Dentist | 2732 Gaston Ave., 3210, Dallas, TN 75226 | 2017-06-20 |
| 1164847661 | Robert Fredrickson | Chiropractor | 4015 Main Street, Suite 100, Dallas, TX 75226 | 2014-02-20 |
| 1285826495 | Maninder Jeet Kaur | General Acute Care Hospital | Baylor Heart and Vascular Hospital, Dallas, TX 75226 | 2007-08-11 |
| 1124178827 | Westmoreland Dental & Orthodontics, Pa | Dentist | 4809 Columbia Avenue, Suite B, Dallas, TX 75226 | 2007-01-12 |
| 1912918798 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2006-08-10 |
| 1750302725 | Dallas Compounding Phcy | Pharmacy | 3001 A Gaston Ave, Dallas, TX 75226 | 2006-07-22 |
| 1124645452 | Samir Gwalani | Student in an Organized Health Care Education/Training Program | 3000 Gaston Ave, 6th Floor, Dallas, TX 75226 | 2020-07-02 |
| 1689059966 | Bailey Marie Isenberg | Nurse Practitioner | 621 N Hall St, Suite 400, Dallas, TX 75226 | 2015-07-28 |
| Find all providers in zip 75226 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214375 | Hippomed Wellness Clinics Limited Company | Clinic/Center | 5930 Lbj Fwy Ste 380, Dallas, TX 75240-6370 | 2020-07-31 |
| 1417566415 | Bonnieview-overton Medical Clinic | Clinic/Center | 3507 Bonnie View Rd, Dallas, TX 75216-4704 | 2020-07-26 |
| 1962977355 | Resolves Healthcare Services, LLC | Clinic/Center | 5151 Belt Line Rd Ste 715, Dallas, TX 75254-7547 | 2018-10-11 |
| 1376067793 | William Parker Highland Park | Clinic/Center | 4442 Lovers Lane, Dallas, TX 75225-6923 | 2017-07-27 |
| 1851724918 | Joey D. Tran, Od Pllc | Clinic/Center | 5334 Ross Ave Ste 100, Dallas, TX 75206-7402 | 2013-08-13 |
| 1972856631 | Bridge Medical Group LLC | Clinic/Center | 4303 N Central Expy, Dallas, TX 75205-5597 | 2012-10-18 |
| 1609127000 | Lyndsay M Posey | Clinic/Center | 289 E Ellendale Ave Ste 601, Dallas, OR 97338-1570 | 2012-09-25 |
| 1780969584 | Questcare | Clinic/Center | 12221 Merit Dr Ste 1620, Dallas, TX 75251-2208 | 2011-10-13 |
| 1265664874 | Glamour Technology and Wellness | Clinic/Center | 206 S Zang Blvd, Dallas, TX 75208-4519 | 2009-08-14 |
| 1053542605 | Health Now Better Now | Clinic/Center | 2002 Lanark Ave, Dallas, TX 75203-4525 | 2009-07-30 |
| Find all providers in DALLAS | ||||
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| 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.