DG EDWARDS PLLC (NPI# 1699384115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699384115 |
| Entity Type | Organization |
| Organization Name | DG EDWARDS PLLC |
| Practice Address |
4498 Marsalis Avenue Dallas TX 75216 |
| Mailing Address |
Po Box 803464 Dallas TX 75380-3464 |
| Practice Telephone | 2149803227 |
| Mailing Telephone | 2149803227 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DR. DRALVES GENE EDEARDS (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2142154425 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | DG EDWARDS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marsalis Avenue Urgent Care Center | Doing Business As Name - Organization |
| Street Address |
4498 MARSALIS AVENUE |
| City | DALLAS |
| State | TX |
| Zip Code | 75216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| 1255674750 | Peter Kooghee Hong | Internal Medicine | 4500 S Lancaster Rd., Community Living Center, Dallas, TX 75216 | 2013-04-03 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1053926477 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 4635 Frankford Rd, Dallas, TX 75287-7108 | 2020-09-11 |
| 1104431527 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 6411 E Northwest Hwy Ste D-120, Dallas, TX 75231-8007 | 2020-09-11 |
| 1255950002 | My Care On Demand LLC | Clinic/Center | 17250 Dallas Pkwy, Dallas, TX 75248-1136 | 2020-04-12 |
| 1104373232 | Medspring of Texas, Pa | Clinic/Center | 3410 President George Bush Turnpike, Dallas, TX 75287-0000 | 2016-09-07 |
| 1629427471 | Urgent Care Travel Inc | Clinic/Center | 7383 Bonnie View Rd, Dallas, TX 75241-7002 | 2016-06-11 |
| 1679934467 | Medspring of Texas, Pa | Clinic/Center | 2404 Mckinney Ave, Dallas, TX 75201-1936 | 2016-03-08 |
| 1114391653 | Medspring of Texas, Pa | Clinic/Center | 4501 Lemmon Ave, Dallas, TX 75219-2145 | 2015-11-20 |
| 1760876296 | Medspring of Texas, Pa | Clinic/Center | 4617 N Central Expy, Dallas, TX 75205-4022 | 2015-03-23 |
| 1497146310 | Medspring of Texas, Pa | Clinic/Center | 4844 Greenville Ave, Dallas, TX 75206-4120 | 2015-02-13 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.