Prism Health North Texas – Family Medicine Physician, NPI 1609852813
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Prism Health North Texas
4922, Spring Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75210, United States
DALLAS, TX 752101359
Phone: (214) 421-7848
Fax: (214) 421-1119
Type: Location
351, West Jefferson Boulevard, Dallas, Dallas County, Texas, 75208, United States
SUITE 300
DALLAS, TX 752087860
Phone: (214) 521-5191
Fax: (214) 623-6806
Type: Mailing
4004 Worth St
Dallas, TX 752461607
Phone: (214) 623-6830
Type: Location
219 Sunset Ave
Dallas, TX 752084599
Phone: (972) 807-7370
Fax: (972) 807-7381
Type: Location
2801 Lemmon Ave Ste 200
Dallas, TX 752042201
Phone: (469) 687-3200
Type: Location
4922 Spring Ave
Dallas, TX 752101359
Phone: (214) 421-7848
Fax: (214) 421-1119
Type: Location
3900 JUNIUS ST STE 300
DALLAS, TX 752461602
Phone: (214) 521-5191
Fax: (214) 623-6806
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-10
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75210)
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