Healthcare Provider Details

I. General information

NPI: 1629713912
Provider Name (Legal Business Name): BRANDON P CALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2022
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 GASTON AVE
DALLAS TX
75246-2017
US

IV. Provider business mailing address

3500 GASTON AVE
DALLAS TX
75246-2017
US

V. Phone/Fax

Practice location:
  • Phone: 214-820-0111
  • Fax: 214-820-7272
Mailing address:
  • Phone: 214-820-0111
  • Fax: 215-820-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR79293
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: