Provider Type Icon

PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS NPI 1801845425


NPI Information

NPI: 1801845425
Provider Name: PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
122 W COLORADO BLVD
DALLAS, TX
ZIP 75208
Phone: (214) 947-6700
Get Directions

PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS NPI is 1801845425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

122 W COLORADO BLVD
DALLAS, TX
ZIP 75208-382
Phone: (214) 947-6700
Fax: (214) 947-6701

The provider's authorized official is Samuel Cullison .
The authorized official title is Vice President and has the following contact phone number (214) 947-2356.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 12/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
5208600000XSurgeryNo
6207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1156122701MEDICAIDTEXAS
2156122702OTHERTEXASMEDICAID TX HEALTH STEPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.