Healthcare Provider Details

I. General information

NPI: 1215474465
Provider Name (Legal Business Name): WESTWING PHYSICIANS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

IV. Provider business mailing address

PO BOX 9
ROCKWALL TX
75087-0009
US

V. Phone/Fax

Practice location:
  • Phone: 214-771-0117
  • Fax: 415-795-4434
Mailing address:
  • Phone: 817-581-6100
  • Fax: 415-795-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI S AARON
Title or Position: CEO
Credential:
Phone: 903-227-1088