Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Dallas Family Medicine PLLC

Organization Family Medicine Physician · NPI 1871158907

Lake Dallas Family Medicine PLLC is a Family Medicine Physician in Lake Dallas, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

503 Main St Ste C
Lake Dallas, TX 75065-2878
Phone: (940) 535-5296
Fax: (940) 535-5297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1871158907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen White — Owner · (214) 908-6012
NPI enumeratedMay 3, 2019
Last updated in NPPESJune 19, 2019
Mailing address503 Main St Ste C, Lake Dallas, TX 75065-2878

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