MEDICARE: DALLAS PSYCHIATRY GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1942126149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS PSYCHIATRY GROUP PLLC

Provider Business Mailing Address
First Line	:	2626 COLE AVE # 373
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1083
Country	:	US
Telephone Number	:	469-246-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 COLE AVE # 373
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1083
Country	:	US
Telephone Number	:	469-246-2333
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	SUN JEONG CHOI
Credential	:	MD
Telephone Number	:	469-246-2333

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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