Healthcare Provider Details

I. General information

NPI: 1144193681
Provider Name (Legal Business Name): N.TX. IMPAIRMENT & EMG CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 PRESTON RD STE 315W
DALLAS TX
75240-4946
US

IV. Provider business mailing address

13601 PRESTON RD STE 315W
DALLAS TX
75240-4946
US

V. Phone/Fax

Practice location:
  • Phone: 972-716-9595
  • Fax: 972-716-9597
Mailing address:
  • Phone: 972-716-9595
  • Fax: 972-716-9597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN HOPKINS
Title or Position: DIRECTOR
Credential:
Phone: 972-716-9595