CCST ASSOCIATES PLLC
NPI 1023117157
Specialist in Dallas, TX

Active since September 22, 2006
221 W COLORADO BLVD, SUITE 100, DALLAS, TX 75208(214) 943-8605(214) 941-3076 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ccst Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCST ASSOCIATES PLLC (NPI 1023117157) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since September 2006. The organization lists Alicia J Mangram, Trauma Surgeon, as its authorized official.

NPPES Registry Identity

NPI1023117157
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCCST ASSOCIATES PLLC
Location Address221 W COLORADO BLVD, SUITE 100Dallas, TX 75208
Mailing Address221 W Colorado Blvd, Suite 100Dallas, TX 75208 · (214) 943-8605 · Fax (214) 941-3076
Fax(214) 941-3076
Organization SubpartNo
Authorized OfficialAlicia J MangramTrauma Surgeon · (214) 943-8605
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 17, 2007
NPI 1023117157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J8654
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
221 W COLORADO BLVD, Dallas, TX 75208

Other Identifiers 3

Medicare UPINH42389
Medicaid144729404TX
Medicare ID-Type Unspecified8A6735TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Radiology, Mobile)
221 W COLORADO BLVD, PAVILION I, SUITE 205
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD, PAVILLION 2, SUITE 929
DALLAS, TX 75208
Surgery
221 W COLORADO BLVD, PAV II STE#740
DALLAS, TX 75208
Neurological Surgery
221 W COLORADO BLVD, PAVILION 1 STE 155
DALLAS, TX 75208
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 W COLORADO BLVD, SUITE 825
DALLAS, TX 75208
Internal Medicine (Pulmonary Disease)
221 W COLORADO BLVD, PAV II, SUITE 528
DALLAS, TX 75208
Clinic/Center (Medical Specialty)
221 W COLORADO BLVD, STE. 729
DALLAS, TX 75208
Surgery
221 W COLORADO BLVD, PAVILION II, SUITE 425
DALLAS, TX 75208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccst Associates PLLC's NPI number?

The NPI number for Ccst Associates PLLC is 1023117157. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Ccst Associates PLLC located?

Ccst Associates PLLC is located at 221 W Colorado Blvd Suite 100, Dallas, TX 75208. The listed phone number is (214) 943-8605.

What is Ccst Associates PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ccst Associates PLLC was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.