CALLON DOC
NPI 1366162042
Physician Assistant in Dallas, TX

Active since September 01, 2022CLIA 45D2287784 · Certificate of Compliance
2916 INWOOD RD, DALLAS, TX 75235(214) 466-6618(469) 666-9422 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Callon Doc NPPES

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

CALLON DOC (NPI 1366162042) is a healthcare organization registered as a physician assistant in Dallas, Texas and active in the NPI registry since September 2022. The organization holds a CLIA Certificate of Compliance certificate valid through June 11, 2028 and lists Adetunji Oshun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366162042
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCALLON DOC
Location Address2916 INWOOD RDDallas, TX 75235-7518
Mailing Address2916 Inwood RdDallas, TX 75235-7518
Fax(469) 666-9422
Organization SubpartNo
Authorized OfficialAdetunji OshunCeo · (214) 466-6618
Enumeration DateSeptember 1, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1366162042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2916 INWOOD RD, Dallas, TX 75235

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 SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2287784

Callondoc · Dallas, TX
Active · expires Jun 11, 2028
CLIA Number45D2287784
Laboratory TypeIndependent
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorTiffany Flowers
Laboratory Phone(254) 396-1097
Laboratory LocationCallondoc2916 Inwood Road, Dallas, TX 75235
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

Family Medicine
2916 INWOOD RD
DALLAS, TX 75235
Nurse Practitioner (Family)
2916 INWOOD RD
DALLAS, TX 75235

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 Callon Doc's NPI number?

The NPI number for Callon Doc is 1366162042. It was assigned to this organization in the NPPES registry on September 1, 2022.

Where is Callon Doc located?

Callon Doc is located at 2916 Inwood Rd, Dallas, TX 75235. The listed phone number is (214) 466-6618.

What is Callon Doc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Callon Doc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2287784) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Callon Doc accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Callon Doc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Callon Doc was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.