MEDICARE: PATRICK SMALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA09867	TX

General Provider Information

NPI Number	:	1205216249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK SMALLEY

Provider Business Mailing Address
First Line	:	7228 BENNINGTON DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-1703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	972-566-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	03/10/2026

Similar Medicare Providers

1982804407 — DR. WENDY CARMEN PARNELL TOLES M.D.
Practice Location Address:

7777 FOREST LN , BUILDING D, SUITE 560
DALLAS, TX
75230-2571

Practice Phone: 972-566-4862
Practice Fax: 972-566-6975

1104283480 — KIONA COOPER PA-C
Practice Location Address:

7777 FOREST LN
DALLAS, TX
75230-2571

Practice Phone: 972-566-7000
Practice Fax:

1417637745 — MISS CARLY RYAN OLSON CBC
Practice Location Address:

7777 FOREST LN STE 300
DALLAS, TX
75230-2571

Practice Phone: 972-284-7770
Practice Fax:

1639173669 — DR. MARK LAWRENCE MAZOW M.D.
Practice Location Address:

7777 FOREST LANE , SUITE C-710
DALLAS, TX
75230-2571

Practice Phone: 972-566-2020
Practice Fax: 972-566-5454

1134125990 — DR. MICHAEL HYDER LIMERICK PHD RN ACNS-BC CHPN
Practice Location Address:

7777 FOREST LN
DALLAS, TX
75230-2571

Practice Phone: 972-566-6119
Practice Fax:

1962401174 — DAVID EDWARD SAMARA M.D.
Practice Location Address:

7777 FOREST LANE, BLDG. B 300
DALLAS, TX
75230-2571

Practice Phone: 972-284-7770
Practice Fax: 972-284-7780

Directions to “ PATRICK SMALLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.