Unknown Individual – Physician Assistant, NPI 1174697007
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1450, Empire Central Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
SUITE 100
DALLAS, TX 752474027
Phone: (214) 905-5000
Type: Location
1818, Pecan Grove, Homestead, Carrollton, Denton County, Texas, 75007, United States
CARROLLTON, TX 750071434
Phone: (214) 731-9994
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75247)
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