Lake Dallas Family Medicine Pllc

LBN: Lake Dallas Family Medicine Pllc
Lake Dallas Family Medicine Pllc is an health care organization with primary practice located at 503 Main St Ste C , Lake Dallas TX 75065-2878. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Lake Dallas Family Medicine Pllc can be contacted via phone (940) 535-5296, or through White, Carmen Phillips via phone (214) 908-6012.

Contact Information

Primary practice address
503 Main St Ste C Lake Dallas TX 75065-2878
Phone: (940) 535-5296
Fax: (940) 535-5297
Website:
Map and Directions
Authorized official contact:
Name: White, Carmen Phillips FNP-BC
Phone: (214) 908-6012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1871158907
LBN Legal business name Lake Dallas Family Medicine Pllc
DBA Doing business as
Authorized official White, Carmen Phillips FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2019
Last updated Jun 19th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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