P Praxis·MD
● Active Type 2 · Organization

Provident Medical Center

Clinic/Center·Dallas, TX· NPI 1659446409 · Enumerated 2006 · 19 years on NPI
Provident Medical Center is 1 of 1927 clinic/center organizations in Texas.
NPI age
19 years
Enumerated 2006-11-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Washington
Owner Administrator
Last NPPES update
2023-09-06
Source: monthly bulk 2026-05

How this organization compares

Across 1927 active clinic/center providers in Texas.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
831 SR L Thornton Fwy
Dallas, TX 752032905
📞 2149487783fax 2149487793
Mailing address
831 SR L Thornton Fwy
Dallas, TX 752032905
📞 2149487783fax 2149487793

Authorized official

Ronald Jeffrey Washington, M.D
Owner Administrator
📞 2149487783

Specialties

  • Clinic/Center Primary
    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...
    TX license #E1172 taxonomy 261Q00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Clinic
    Type code 3 recorded 2006-11-21

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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