Unknown Individual – Physician Assistant, NPI 1558384396
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2802, Stoneridge Drive, Garland, Dallas County, Texas, 75044, United States
GARLAND, TX 750447040
Phone: (214) 764-4570
Fax: (866) 847-0253
Type: Mailing
Tower 909, 909, Lake Carolyn Parkway, Irving, Dallas County, Texas, 75039, United States
IRVING, TX 750393908
Phone: (972) 868-9929
Type: Location
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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Educational use only—not medical, billing, or legal advice.
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 75044)
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