Healthcare Provider Details

I. General information

NPI: 1083303648
Provider Name (Legal Business Name): GARRETT-PRICE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 GLASS ST STE 140
DALLAS TX
75207-6930
US

IV. Provider business mailing address

633 W DAVIS ST # 223
DALLAS TX
75208-4745
US

V. Phone/Fax

Practice location:
  • Phone: 469-405-1852
  • Fax: 214-433-6403
Mailing address:
  • Phone: 469-405-1852
  • Fax: 214-433-6403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMAD GARRETT-PRICE
Title or Position: FOUNDER/PRESIDENT/CHIEF MEDICAL OFF
Credential: MD
Phone: 469-405-1852