Dakota Medical Associates
Family Medicine in Wylie, TX. Organization (NPI-2).
NPI number1710072814
StatusActive
Last updated in NPPESMay 6, 2011
Details
- NPI
- 1710072814
- Entity type
- Organization (NPI-2)
- Legal business name
- Dakota Medical Associates
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- May 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G3129 | TX | Yes |
Practice location
791 S Hwy 78Wylie, TX 75098
Phone 972-429-4553 · Fax 972-429-4233
Mailing address
791 S Hwy 78Wylie, TX 75098-4004
Phone 972-429-4553 · Fax 972-429-4233
Authorized official
Steven George Bander
Clinic Director
9724294553
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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