Organization · Type 2 NPI

Innovista Provider Group Texas PA

Family Medicine Physician · Richardson, TX

NPI number 1508411083 Active

Practice location

350 S Plano Rd
Richardson, TX 75081-4505

Call (305) 470-2929 Map

Mailing address

PO Box 8150
Westchester, IL 60154-8150

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family 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 family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Richardson

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NPI record

NPI: 1508411083
Entity type: Organization (Type 2)
Issued: Aug 1, 2019
Last updated: Jun 2, 2025
Status: Active
Subpart: Yes of Innovista Provider Group Texas PA

Other names

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Innovista Richardson · doing business as
Innovista Medical Center of Texas PA · former legal business name

Authorized official

Afreen Pappa
Market Medical Director
(281) 639-4679

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508411083

Innovista Provider Group Texas PA's National Provider Identifier is 1508411083, issued on Aug 1, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Richardson, TX. The record was last updated on Jun 2, 2025.