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PEDIAQ TEXAS LLC
NPI 1326415779
Nurse Practitioner - Pediatrics in Dallas, TX

Active since September 01, 2015
17101 PRESTON RD, STE 115, DALLAS, TX 75248(214) 984-3900(972) 294-3343 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediaq Texas Llc NPPES

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

PEDIAQ TEXAS LLC (NPI 1326415779) is a healthcare organization registered as a pediatrics in Dallas, Texas and active in the NPI registry since September 2015. The organization lists Jon Osullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1326415779
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePEDIAQ TEXAS LLC
Location Address17101 PRESTON RD, STE 115Dallas, TX 75248-1331
Mailing Address17101 Preston Rd, Ste 115Dallas, TX 75248-1331 · (214) 984-3900 · Fax (972) 294-3343
Phone(214) 984-3900
Fax(972) 294-3343
Organization SubpartYesParent: Pediaq Llc
Authorized OfficialJon OsullivanOwner · 21498439000
Enumeration DateSeptember 1, 2015
✔ NPI 1326415779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 226944 (TX)
17101 PRESTON RD, Dallas, TX 75248
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

KELI S. JONES M.D., PA
Obstetrics & Gynecology (Gynecology)
17101 PRESTON RD, SUITE 200
DALLAS, TX 75248
Dallas County (972) 248-1042
DR. KELLY L WIMBERLY MD
Family Medicine
17101 PRESTON RD, SUITE 200
DALLAS, TX 75248
Dallas County (972) 239-4441
KELI JONES M.D., P.A
Obstetrics & Gynecology
17101 PRESTON RD, SUITE 200
DALLAS, TX 75248
Dallas County (972) 248-1042
AIMEE L WRIGHT DO PA
Family Medicine
17101 PRESTON RD, SUITE 200
DALLAS, TX 75248
Dallas County (972) 239-4441
MEGAN LEIGH ROSEWELL
Counselor (Professional)
17101 PRESTON RD
DALLAS, TX 75248
Dallas County (972) 250-1700
PEDIAQ
Nurse Practitioner (Pediatrics)
17101 PRESTON RD, STE 115
DALLAS, TX 75248
Dallas County (214) 984-3900
LETICIA ANNE GARCEAU LPC , CSAT CANDIDATE
Counselor (Professional)
17101 PRESTON RD
DALLAS, TX 75248
Dallas County (972) 538-1713
KELLY L WIMBERLY MD PA
Family Medicine
17101 PRESTON RD, SUITE 200
DALLAS, TX 75248
Dallas County (972) 239-4441

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 Pediaq Texas LLC's NPI number?

The NPI number for Pediaq Texas LLC is 1326415779. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Pediaq Texas LLC located?

Pediaq Texas LLC is located at 17101 Preston Rd Ste 115, Dallas, TX 75248. The listed phone number is (214) 984-3900.

What is Pediaq Texas LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pediaq Texas LLC was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.