Healthcare Provider Details

I. General information

NPI: 1932011251
Provider Name (Legal Business Name): PRO-SPECTUS HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15058 BELTWAY DRIVE SUITE 119B
ADDISON TX
75001-3700
US

IV. Provider business mailing address

15058 BELTWAY DR STE 119B
ADDISON TX
75001-3700
US

V. Phone/Fax

Practice location:
  • Phone: 877-877-5321
  • Fax: 855-595-2722
Mailing address:
  • Phone: 877-877-5321
  • Fax: 855-595-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMILY SMITH
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 469-636-6080