METHODIST TRANSPLANT PHYSICIANS NPI 1003868241

NPI Information

  • NPI: 1003868241
  • Provider Name: METHODIST TRANSPLANT PHYSICIANS
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Organization
  • CLIA Number: 45D0873837
  • Address: 1411 N BECKLEY AVE
    PAV III STE#268
    DALLAS, TX
    ZIP 75203
  • Phone: (214) 947-4400

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NPI Details

METHODIST TRANSPLANT PHYSICIANS is a transplant surgery in Dallas, TX. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee METHODIST TRANSPLANT PHYSICIANS NPI is 1003868241. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1411 N BECKLEY AVE
PAV III STE#268
DALLAS, TX
ZIP 75203-259
Phone: (214) 947-4400
Fax: (214) 947-4404

The provider's authorized official is Shelley Colon .
The authorized official title is Director Of Business Operations and has the following contact phone number (214) 947-4420.

The CLIA number assigned to this NPI record is 45D0873837 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/16/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204F00000XTransplant SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100602UMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2156924602MEDICAIDTEXAS
300Y225OTHERTEXASMEDICARE

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: 11/21/2025

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