Active NPI 1689917007 Individual Practitioner Male Practitioner

Dr. David R Wright , MD

Dermatology - MOHS-Micrographic Surgery • Irving, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Wright, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Irving, TX. With approximately 13 years of clinical experience since graduating from Creighton University School Of Medicine in 2013, Dr. Wright delivers high-quality medical care to the local community at 7445 LAS COLINAS BLVD.

Dr. Wright is affiliated with Pdp Of Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7445 Las Colinas Blvd

Irving, TX 750637561

Telephone 9727266647

Fax 9727266797

Associated Practice Facility / Clinic

🏢 Au Monitoring Llc Facility NPI 1669922472

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Irving, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Irving, TX (123 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wright (13 Years) 13 Yrs

Irving Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	574	439	$1516.00	$624.33
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	309	192	$926.00	$426.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	190	175	$1038.00	$249.34
99213 Established patient office or other outpatient visit, typically 15 minutes	177	177	$197.00	$93.42
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	100	81	$1428.00	$624.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	98	88	$680.00	$194.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	57	55	$942.00	$226.93
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	50	48	$702.00	$166.06
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	43	43	$1681.00	$795.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	12	$18.00	$0.98
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	37	37	$634.00	$158.74
11102 Tangential biopsy of single skin lesion	34	30	$227.00	$80.96
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	30	30	$2193.00	$1012.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$241.00	$115.23
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	24	$691.00	$173.89
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	23	$1090.00	$266.90
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	19	15	$889.00	$391.77
11900 Injection into skin growth, 1-7 growths	18	11	$128.00	$54.28
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	18	17	$745.00	$269.67
17000 Destruction of skin growth	16	16	$151.00	$39.90
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$385.00	$96.15
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	12	$2023.00	$955.38
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$545.00	$211.72
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	11	$2186.00	$1031.63
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1670.00	$786.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	487	368	$1395.00	$601.84
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	230	154	$850.00	$408.84
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	158	139	$991.00	$243.91
99213 Established patient office or other outpatient visit, typically 15 minutes	111	110	$186.00	$89.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	93	88	$639.00	$200.46
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	73	$1311.00	$615.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	44	$899.00	$224.54
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	44	$655.00	$159.25
17003 Destruction of precancer skin growth, 2-14 growths	31	13	$14.00	$6.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	31	31	$2042.00	$996.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$228.00	$108.83
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	28	$644.00	$171.42
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	28	$1566.00	$716.23
11102 Tangential biopsy of single skin lesion	23	21	$217.00	$77.87
17000 Destruction of skin growth	23	22	$136.00	$45.57
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	23	$1044.00	$249.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	19	$512.00	$156.39
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	13	$813.00	$376.09
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	17	17	$1883.00	$892.21
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$589.00	$152.83
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	15	$695.00	$245.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$115.00	$56.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$358.00	$99.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	488	385	$1395.00	$619.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	256	160	$850.00	$417.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	165	154	$991.00	$244.16
99213 Established patient office or other outpatient visit, typically 15 minutes	111	111	$186.00	$90.63
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	73	60	$1311.00	$612.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	54	$639.00	$208.44
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	59	57	$899.00	$221.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$115.00	$56.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	13	$18.00	$1.18
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	29	29	$644.00	$164.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$228.00	$112.75
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	24	24	$2042.00	$1004.83
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	22	$589.00	$153.09
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	23	$1044.00	$245.94
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	21	20	$695.00	$279.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$580.00	$216.13
17000 Destruction of skin growth	19	18	$136.00	$43.41
11102 Tangential biopsy of single skin lesion	19	16	$217.00	$83.30
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	18	$655.00	$170.95
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	19	14	$813.00	$395.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$253.00	$130.56
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	15	$1883.00	$915.69
11900 Injection into skin growth, 1-7 growths	13	12	$116.00	$45.76
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$2029.00	$956.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1566.00	$773.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	406	313	$1391.12	$617.56
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	239	148	$844.44	$420.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	146	129	$990.80	$252.34
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	68	63	$895.87	$233.50
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	63	53	$1305.74	$608.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$239.91	$130.44
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	56	49	$640.20	$218.29
99213 Established patient office or other outpatient visit, typically 15 minutes	46	44	$181.14	$93.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	34	32	$1043.19	$254.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$228.00	$114.03
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	33	31	$2046.52	$1013.67
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	21	$687.49	$259.88
11102 Tangential biopsy of single skin lesion	19	16	$217.79	$82.63
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$580.46	$196.22
17000 Destruction of skin growth	16	15	$135.94	$39.34
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	14	$1886.47	$941.68
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1569.97	$750.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	430	320	$1351.49	$606.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	297	171	$798.55	$404.05
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	191	164	$975.45	$252.41
99213 Established patient office or other outpatient visit, typically 15 minutes	132	127	$148.65	$76.37
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	72	59	$1262.32	$619.01
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	60	56	$872.40	$258.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	40	$648.10	$213.74
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	37	36	$2071.93	$1007.07
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	33	33	$1033.26	$259.81
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	19	$761.92	$392.40
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$152.08	$77.08
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	18	$1969.43	$948.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$579.77	$224.85
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	17	17	$635.88	$206.30
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	16	$271.44	$134.59
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1585.68	$791.96
11102 Tangential biopsy of single skin lesion	11	11	$222.00	$84.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	421	319	$1354.41	$600.93
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	298	177	$796.57	$397.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	174	158	$975.33	$253.89
99213 Established patient office or other outpatient visit, typically 15 minutes	122	119	$148.75	$74.22
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	88	78	$1274.53	$602.99
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$152.08	$76.65
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	70	64	$878.48	$231.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	40	$619.36	$212.36
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	37	35	$1034.13	$263.61
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	34	32	$1927.10	$946.82
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	31	27	$780.54	$360.48
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	28	28	$2070.06	$1022.93
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	20	19	$808.00	$242.88
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	11	$271.44	$133.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	122	103	$1356.09	$562.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	118	71	$801.47	$389.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	56	50	$976.94	$351.84
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	43	42	$874.88	$326.03
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	36	31	$1270.25	$576.69
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	23	22	$2070.06	$1021.81
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	23	17	$777.34	$350.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$89.49	$44.19
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$152.08	$75.38
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	17	17	$1942.56	$929.43
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$1033.26	$346.49
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$808.00	$350.04

Medical Specialties & State Licenses

CMS Verified: 2025-08-14

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License TX R1912

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX R1912

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Pdp Of Texas, Pllc

12222 Coit Rd, Dallas, TX 752512302

Phone: 9727266647

Secondary Practice Locations

4685 Eldorado Pkwy Ste 100

Frisco, TX 750330289

Phone: 9723352727

12222 Coit Rd Ste 102

Dallas, TX 752512302

Phone: 9727266647

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. William Posten , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1497725790

Doctor of Medicine (M.D.)

Sarah Snitker , PA

Physician Assistant

NPI 1790930832

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address August 04, 2025

Registered at 9900 N CENTRAL EXPY STE 500, DALLAS, TX 752310928 (Tel: 2149873376)

📍

Updated Business Mailing Address June 26, 2024

Registered at 12700 PARK CENTRAL DR STE 1210, DALLAS, TX 752511522 (Tel: 2149873376)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2024

Dermatology (License #R1912 in TX)

📍

Updated Practice Location March 01, 2021

Registered at 7445 LAS COLINAS BLVD, IRVING, TX 750637561 (Tel: 9727266627)

📍

Updated Business Mailing Address March 01, 2021

Registered at 7445 LAS COLINAS BLVD, IRVING, TX 750637561 (Tel: 9727266647)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2021

Dermatology (License #R1912 in TX)

✅

NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2017

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082635660)

📍

Updated Business Mailing Address January 04, 2017

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001

👤

Provider Name / Credentials Updated January 04, 2017

Recorded as DAVID WRIGHT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Dermatology (License #63286 in WI)

🟢

Initial NPI Registration & Enumeration April 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689917007

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2013

Last Update: August 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9900 N Central Expy Ste 500

Dallas, TX 752310928

Phone: 2149873376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.