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EQUILYST LLC. NPI 1679123632


NPI Information

NPI: 1679123632
Provider Name: EQUILYST LLC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2909 CANTON ST STE C
DALLAS, TX
ZIP 75226
Phone: (214) 984-3696
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EQUILYST LLC. is a clinic center in Dallas, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EQUILYST LLC. NPI is 1679123632. The provider is registered as an organization entity type.

The provider's business location address is:

2909 CANTON ST STE C
DALLAS, TX
ZIP 75226-508
Phone: (214) 984-3696
Fax: (469) 523-5503

The provider's authorized official is William Blake York .
The authorized official title is Managing Member and has the following contact phone number (337) 580-0710.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 9/12/2019.


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
1261Q00000XClinic/CenterYes

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

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