Organization · Type 2 NPI

Equilyst Llc.

Clinic/Center · Dallas, TX

NPI number 1679123632 Active

Practice location

2909 Canton St Ste C
Dallas, TX 75226-3508

Fax (469) 523-5503

Mailing address

3131 Main St Apt 122
Dallas, TX 75226-1530

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

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About NPI 1679123632

Equilyst Llc.'s National Provider Identifier is 1679123632, issued on Sep 12, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 12, 2019.