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EQUILYST LLC.
NPI 1679123632
Clinic/Center in Dallas, TX

Active since September 12, 2019
2909 CANTON ST STE C, DALLAS, TX 75226(214) 984-3696(469) 523-5503 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Equilyst Llc. NPPES

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

EQUILYST LLC. (NPI 1679123632), doing business as Equilyst Modern Medicine, is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since September 2019. The organization lists William Blake York, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1679123632
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEQUILYST LLC.
Location Address2909 CANTON ST STE CDallas, TX 75226-3508
Mailing Address3131 Main St Apt 122Dallas, TX 75226-1530 · (337) 580-0710
Phone(214) 984-3696
Fax(469) 523-5503
Organization SubpartNo
Authorized OfficialWilliam Blake YorkManaging Member · (337) 580-0710
Enumeration DateSeptember 12, 2019
✔ NPI 1679123632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2909 CANTON ST STE C, Dallas, TX 75226
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Other Names 1

Doing Business AsEquilyst Modern Medicine

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 Equilyst LLC.'s NPI number?

The NPI number for Equilyst LLC. is 1679123632. It was assigned to this organization in the NPPES registry on September 12, 2019. The provider is doing business as Equilyst Modern Medicine.

Where is Equilyst LLC. located?

Equilyst LLC. is located at 2909 Canton St Ste C, Dallas, TX 75226. The listed phone number is (214) 984-3696.

What is Equilyst LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Equilyst LLC. was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.