GONZALO A AILLON MD PLLC (NPI# 1700265873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700265873 |
| Entity Type | Organization |
| Organization Name | GONZALO A AILLON MD PLLC |
| Practice Address |
400 S Zang Blvd Suite 802 Dallas TX 75208-6643 |
| Practice Telephone | 2149439406 |
| Practice Fax Number | 2149445511 |
| Mailing Telephone | 2149439406 |
| Mailing Fax Number | 2149445511 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | DR. GONZALO A AILLON (OWNER) |
| Authorized Official Telephone | 2149439406 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
D-7730 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
400 S ZANG BLVD SUITE 802 |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-6643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255306486 | Andrew Foil Campbell | Psychiatry & Neurology | 400 S Zang Blvd, Suite 1005, Dallas, TX 75208-6645 | 2006-02-21 |
| 1588296537 | Danielle Nicole Johnson | Chiropractor | 400 S Zang Blvd, Dallas, TX 75208-6600 | 2020-02-07 |
| 1225483811 | Amera Sergie | Counselor | 400 S Zang Blvd, #806, Dallas, TX 75208-6600 | 2016-05-02 |
| 1821350562 | Tara Christi Howland | Counselor | 400 S Zang Blvd, Suite 806, Dallas, TX 75208-6600 | 2012-06-08 |
| 1841557493 | Trinity Home Health Care LLC | Home Health | 400 S Zang Blvd, Ste 200, Dallas, TX 75208-6600 | 2012-04-20 |
| 1922376177 | Trinity Health Care | Home Health | 400 S Zang Blvd, Suite 200, Dallas, TX 75208-6600 | 2011-12-02 |
| 1881983302 | Trinity Tas LLC | In Home Supportive Care | 400 S Zang Blvd, Suite 200, Dallas, TX 75208-6600 | 2011-04-05 |
| 1285923375 | Trinity Cds LLC | In Home Supportive Care | 400 S Zang Blvd, Suite 200, Dallas, TX 75208-6600 | 2011-03-30 |
| 1558664797 | Eckerd Youth Alternatives, Inc., Dba Eckerd Connects | Community/Behavioral Health | 400 S Zang Blvd, Suite 220, Dallas, TX 75208-6600 | 2010-12-09 |
| 1043520208 | Trinity Homes Hcs Phase2 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 S Zang Blvd, Ste 200, Dallas, TX 75208-6600 | 2010-10-20 |
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|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
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| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
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| 1902241029 | Travis Noble Nance | Psychiatry & Neurology | 1 Criminal Justice Dr, Conroe, TX 77301-1491 | 2013-05-02 |
| 1215183512 | David Allan Williamson | Psychiatry & Neurology | 1 Riverway Ste 600, Houston, TX 77056-1993 | 2008-08-18 |
| 1356967574 | Regions Integrated Health & Wellness LLC | Psychiatry & Neurology | 1937 Texas Pkwy, Missouri City, TX 77489-3121 | 2020-06-23 |
| 1699241513 | Neuro Psychiatric & Behavioral Rehabilitation Practitioners Associatio | Psychiatry & Neurology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2018-10-18 |
| 1154839470 | Restore Brain, Pllc | Psychiatry & Neurology | 5207 Heritage Ave, Colleyville, TX 76034-5915 | 2018-01-22 |
| 1467965905 | Hickory Trail Hospital, L.p. | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2017-11-07 |
| 1861856114 | Symedic Pllc | Psychiatry & Neurology | 2245 Texas Dr, Suite 300, Sugar Land, TX 77479-1679 | 2016-04-12 |
| 1609240977 | Psych Md Pllc | Psychiatry & Neurology | 1029 Long Prairie Rd, Suite D, Flower Mound, TX 75022-4243 | 2015-11-24 |
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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.