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General NPI Number Information
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NPI Number | 1932660636
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Entity Type | Organization
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Legal Business Name | DALLAS 365, PLLC
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 146
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 214-980-9400
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Fax | 469-801-0700
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Provider Business Mailing Address
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Address Line | 13101 PRESTON RD # 110648
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City | DALLAS
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State | TX
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Zip | 75240-5237
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Country | US
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Telephone | 512-422-0633
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Fax | 469-802-0070
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JEFFERY FRITZ
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Credential | MD
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Telephone | 512-422-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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