NPI
Lake Dallas Family Medicine PLLC
NPI 1871158907
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2019-05-03
- Last updated
- 2019-06-19
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 503 Main St Ste C
- City
- Lake Dallas TX
- Postal code
- 75065-2878
- Phone
- (940) 535-5296
Organization contact
- Name
- Carmen White
- Title
- Owner
- Phone
- (214) 908-6012
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lake Dallas, TX. 53 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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