MATRIX MEDICAL ASSISTANTS PLLC NPI 1669079174

NPI Information

  • NPI: 1669079174
  • Provider Name: MATRIX MEDICAL ASSISTANTS, PLLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 4518 IRVIN SIMMONS DR
    DALLAS, TX
    ZIP 75229
  • Phone: (817) 969-6030

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NPI Details

MATRIX MEDICAL ASSISTANTS, PLLC is a point of service in Dallas, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MATRIX MEDICAL ASSISTANTS, PLLC NPI is 1669079174. The provider is registered as an organization entity type.

The provider's business location address is:

4518 IRVIN SIMMONS DR
DALLAS, TX
ZIP 75229-249
Phone: (817) 969-6030

The provider's authorized official is Mark Lundgren .
The authorized official title is Practice Administrator and has the following contact phone number (817) 969-6030.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/7/2020.

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
1305S00000XPoint of ServiceYes

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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