Physician Associates Of Southwest Dallas in Dallas - Sports Medicine
Physician Associates Of Southwest Dallas - NPI 1801845425
Physician Associates Of Southwest Dallas is a Sports Medicine in Dallas, Texas. Physician Associates Of Southwest Dallas practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Physician Associates Of Southwest Dallas is 1801845425. The last update date is 2018-12-13.
Physician Associates Of Southwest Dallas's current location address is 122 W Colorado Blvd, Dallas, Texas. You can contact this provider via phone number 2149476700 and fax number 2149476701. The mailing address for Physician Associates Of Southwest Dallas is 122 W Colorado Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Associates Of Southwest Dallas |
|---|---|
| Address | 122 W Colorado Blvd, Dallas, Texas |
| Phone Number | 2149476700 |
| Fax Number | 2149476701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Cullison Samuel |
| Credentials | MD |
| Telephone Number | 2149472356 |
NPI Number Detail
| NPI Number | 1801845425 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2018-12-13 |
Provider Mailing Address Detail
| Address | 122 W Colorado Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752082382 |
| Phone Number | 2149476700 |
| Fax Number | 2149476701 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156122702 | TX | MEDICAID TX HEALTH STEPS | |
| 156122701 | TX | -- |
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What is the unique 10-digit identification code assigned to Physician Associates Of Southwest Dallas by the Centers for Medicare & Medicaid Services?
The Physician Associates Of Southwest Dallas has been issued the NPI (National Provider Identifier) 1801845425, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Physician Associates Of Southwest Dallas located?
The Physician Associates Of Southwest Dallas is located at 122 W Colorado Blvd, Dallas, TX 752082382.
What is Physician Associates Of Southwest Dallas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Physician Associates Of Southwest Dallas's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
When did Physician Associates Of Southwest Dallas receive its 1801845425 assignment?
The Physician Associates Of Southwest Dallas was assigned its 1801845425 on 2006-05-09, which is the date when this unique identifier was issued to the organization.
When was the information related to Physician Associates Of Southwest Dallas most recently updated or refreshed?
The details pertaining to the Physician Associates Of Southwest Dallas, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-13.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX