NPI age
7 years
Enumerated 2019-05-03
● Active Type 2 · Organization
Lake Dallas Family Medicine Pllc
Lake Dallas Family Medicine Pllc is 1 of 22123 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
White
Owner
Last NPPES update
2019-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
503 Main St Ste C
Lake Dallas, TX 750652878
Mailing address
503 Main St Ste C
Lake Dallas, TX 750652878
Authorized official
Carmen Phillips White, FNP-BC
Owner
📞 2149086012
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Carmen Phillips White, FNP-BC Nurse Practitioner NPI 1689831562
- Madisen Stacks Nurse Practitioner NPI 1063004158
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.